Provider Information for 1023507670
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SARAH POIRIER
Sex: Female
NPI: 1023507670
Last Updated: 2018-05-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1023507670 | ||||||||
| Enumeration Date | 2018-05-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8970 W CHEYENNE AVE LAS VEGAS, NV 89129-8928 United States Phone: 702-527-7771 | Fax:702-527-7741 | ||||||||
| Primary Practice Address | 8970 W CHEYENNE AVE LAS VEGAS, NV 89129-8928 United States Phone: 702-527-7771 | Fax:702-527-7741 | ||||||||
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