Reader Plamen Byrzev called my attention to this very bizarre Places Search result on the phrase sports nutritionist Las Vegas NV. Local indeed.
One presumes that the result is related to the Contact Page on her site named http://www.christinaleora.com/las-vegas-trainer/ with the following title tag:
Las Vegas Trainer -Personal Trainer Las Vegas | KICK YOURSELF FIT
She must spend a lot of time commuting.