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1033821301
ROLANDA LAVELLE LONGORIA
LINCOLN, NE
NPI
1033821301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
ROLANDA LAVELLE LONGORIA
5905 O STREET
LINCOLN, NE 68510
Phone number: 402-426-1000
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Mailing Address
ROLANDA LAVELLE LONGORIA
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1000
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