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1093050353
VANESSA PINE
OMAHA, NE
NPI
1093050353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305207479)
Enumeration Date
2012-11-27
Last Update Date
2012-11-27
Business Address
-- VANESSA PINE
11506 NICHOLAS ST STE 110
OMAHA, NE 68154-4407
Phone number: 877-230-3885
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Mailing Address
-- VANESSA PINE
2449 E WATERS EDGE DR
COLUMBIA CITY, IN 46725-8996
Phone number: 260-609-8749
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