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1003285909
STACI WORM
DAVID CITY, NE
NPI
1003285909
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Former Name
STACI OSSIAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2083X0100X Preventive Medicine, Occupational Medicine
(Licence: NE 1932)
Enumeration Date
2015-09-21
Last Update Date
2015-09-21
Business Address
-- STACI WORM MOT, OTR/L
372 S 9TH ST
DAVID CITY, NE 68632-2116
Phone number: 402-367-1200
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Mailing Address
-- STACI WORM MOT, OTR/L
456 N 8TH ST
DAVID CITY, NE 68632-1708
Phone number: 402-641-1501
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