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1003209099
CHRISTENA RUNOLFSON
OMAHA, NE
NPI
1003209099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P1 60516094)
Enumeration Date
2015-03-15
Last Update Date
2015-03-15
Business Address
-- CHRISTENA RUNOLFSON
11506 NICHOLAS ST SUITE 110
OMAHA, NE 68154-4407
Phone number: 877-230-3885
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Mailing Address
-- CHRISTENA RUNOLFSON
11506 NICHOLAS ST SUITE 110
OMAHA, NE 68154-4407
Phone number: 877-230-3885
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