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Individual

PAULINA MARIE CONNELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1344 DISC DR # 3090, SPARKS, NV 89436-0684
(775) 502-8592
Mailing address
1344 DISC DR # 3090, SPARKS, NV 89436-0684
(775) 502-8592

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
171W00000X - CONTRAC
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171W00000X - CONTRAC
NV
Enumeration date
06/30/2011
Last updated
04/25/2025
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