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1902177546
DESTINY AUTUMN NELSON
PAHRUMP, NV
NPI
1902177546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
Ms. DESTINY AUTUMN NELSON
1410 BLACK ST
PAHRUMP, NV 89060-3911
Phone number: 702-366-4771
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Mailing Address
Ms. DESTINY AUTUMN NELSON
1410 BLACK ST
PAHRUMP, NV 89060-3911
Phone number: 702-366-4771
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