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1033891551
TYRA M JACKSON
OMAHA, NE
NPI
1033891551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 13490)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
TYRA M JACKSON
6902 PINE ST
OMAHA, NE 68106-2855
Phone number: 402-559-6418
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Mailing Address
TYRA M JACKSON
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-8943
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