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1053798942
MATTHEW LANDRUM
GERING, NE
NPI
1053798942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1383)
Enumeration Date
2015-04-30
Last Update Date
2015-04-30
Business Address
MATTHEW LANDRUM PTA
620 16TH ST
GERING, NE 69341-3908
Phone number: 308-641-7590
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Mailing Address
MATTHEW LANDRUM PTA
620 16TH ST
GERING, NE 69341-3908
Phone number: 308-641-7590
Copy
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