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1871886853
STACEY LEWIS
NORTH LAS VEGAS, NV
NPI
1871886853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2011-05-24
Last Update Date
2024-11-25
Business Address
STACEY LEWIS
4040 N MARTIN L KING BLVD STE A
NORTH LAS VEGAS, NV 89032-3205
Phone number: 702-644-4673
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Mailing Address
STACEY LEWIS
2760 LAKE SAHARA DR SUITE 108
LAS VEGAS, NV 89117-3438
Phone number: 702-222-0792
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