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1013564483
NICHOLAS T HART
RALSTON, NE
NPI
1013564483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IA 084050)
Enumeration Date
2019-08-21
Last Update Date
2019-08-21
Business Address
NICHOLAS T HART MS, ATC
7300 Q ST
RALSTON, NE 68127-3941
Phone number: 402-326-4672
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Mailing Address
NICHOLAS T HART MS, ATC
7616 GRAND OAKS CIR
LINCOLN, NE 68516-4300
Phone number: 402-326-4672
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