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1114735321
PHYLLIS HEATH WHITE
BROKEN BOW, NE
NPI
1114735321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2024-12-19
Last Update Date
2024-12-19
Business Address
PHYLLIS HEATH WHITE
717 S 7TH AVE
BROKEN BOW, NE 68822-2521
Phone number: 308-872-2742
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Mailing Address
PHYLLIS HEATH WHITE
80259 LILLIAN RD
BROKEN BOW, NE 68822-5507
Phone number: 308-872-2742
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