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1083824734
LONNIE LEE JAUKEN
HOLDREGE, NE
NPI
1083824734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 170)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Mr. LONNIE LEE JAUKEN ATC,PTA
1215 TIBBALS ST
HOLDREGE, NE 68949-1255
Phone number: 308-995-6134
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Mailing Address
Mr. LONNIE LEE JAUKEN ATC,PTA
429 MCMILLAN ST
HOLDREGE, NE 68949-2050
Phone number: 308-995-5447
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