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1073332920
LOGAN CORCORAN
OMAHA, NE
NPI
1073332920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: NE RBT-24-383045)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
LOGAN CORCORAN
13322 I ST
OMAHA, NE 68137-1111
Phone number: 402-230-5861
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Mailing Address
LOGAN CORCORAN
13322 I ST
OMAHA, NE 68137-1111
Phone number: 402-230-5861
Copy
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