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1013113943
ETHEL REALES
OMAHA, NE
NPI
1013113943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 1380)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
-- ETHEL REALES
7350 GRACELAND DR
OMAHA, NE 68134-4328
Phone number: 402-557-6631
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Mailing Address
-- ETHEL REALES
4607 N 126TH AVE
OMAHA, NE 68164-6900
Phone number:
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