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1114763844
WADE OTT
OMAHA, NE
NPI
1114763844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
WADE OTT
649 S 42ND ST
OMAHA, NE 68198-1002
Phone number: 402-983-2776
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Mailing Address
WADE OTT
4380 S 153RD CIR
OMAHA, NE 68137-5114
Phone number: 402-983-2776
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