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1114206182
MARY MICKELS
OMAHA, NE
NPI
1114206182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 2496)
Enumeration Date
2011-08-09
Last Update Date
2011-08-09
Business Address
Mrs. MARY MICKELS
5505 GROVER ST
OMAHA, NE 68106-3718
Phone number: 402-551-4970
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Mailing Address
Mrs. MARY MICKELS
5505 GROVER ST
OMAHA, NE 68106-3718
Phone number: 402-551-4970
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