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1104105915
SANDY J PROKUPEK
PLATTSMOUTH, NE
NPI
1104105915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 579)
Enumeration Date
2011-08-10
Last Update Date
2011-08-10
Business Address
Ms. SANDY J PROKUPEK PTA
602 S 18TH ST
PLATTSMOUTH, NE 68048-2056
Phone number: 402-296-2800
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Mailing Address
Ms. SANDY J PROKUPEK PTA
1013 3RD AVE
PLATTSMOUTH, NE 68048-1743
Phone number: 402-350-3104
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