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1063103604
JOHNATHAN LATTA
OMAHA, NE
NPI
1063103604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NE 2669)
Enumeration Date
2023-05-16
Last Update Date
2023-11-29
Business Address
JOHNATHAN LATTA LIMHP
9239 W CENTER RD STE 211
OMAHA, NE 68124-1900
Phone number: 402-399-9305
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Mailing Address
JOHNATHAN LATTA LIMHP
9239 W CENTER RD STE 211
OMAHA, NE 68124-1900
Phone number: 402-399-9305
Copy
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