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1801331145
LISA M. MAXWELL
LAS VEGAS, NV
NPI
1801331145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-12-22
Last Update Date
2016-12-22
Business Address
-- LISA M. MAXWELL PCA, BST
3642 TWAIN CIR
LAS VEGAS, NV 89121-2940
Phone number: 702-401-9509
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Mailing Address
-- LISA M. MAXWELL PCA, BST
3642 TWAIN CIR
LAS VEGAS, NV 89121-2940
Phone number: 702-401-9509
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