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1013403237
JASON JAMES BRISBIN
OMAHA, NE
NPI
1013403237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NE 2827)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
JASON JAMES BRISBIN RDH, PHRDH
13256 EMILINE ST
OMAHA, NE 68138-6108
Phone number: 402-813-1312
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Mailing Address
JASON JAMES BRISBIN RDH, PHRDH
13256 EMILINE ST
OMAHA, NE 68138-6108
Phone number: 402-813-1312
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