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Individual

JORDAN SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5065 PYRAMID LAKE RD, SPARKS, NV 89436-7703
(775) 425-9335
(775) 425-9337
Mailing address
5065 PYRAMID LAKE RD, SPARKS, NV 89436-7703
(775) 425-9335
(775) 425-9337

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
708
NV

Other

Enumeration date
07/01/2024
Last updated
07/01/2024
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