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1093119273
ADAM BENJAMIN ROSEN
OMAHA, NE
NPI
1093119273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE 737)
Enumeration Date
2014-10-16
Last Update Date
2014-10-16
Business Address
ADAM BENJAMIN ROSEN ATC
1711 N 56TH ST
OMAHA, NE 68104-4906
Phone number: 732-742-2596
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Mailing Address
ADAM BENJAMIN ROSEN ATC
1711 N 56TH STREET
OMAHA, NE 68182
Phone number: 402-554-2057
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