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1124466198
TATE R WOLF
OMAHA, NE
NPI
1124466198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 774)
Enumeration Date
2013-06-11
Last Update Date
2013-06-11
Business Address
-- TATE R WOLF PTA
18901 U ST
OMAHA, NE 68135-4101
Phone number: 402-992-0186
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Mailing Address
-- TATE R WOLF PTA
18901 U ST
OMAHA, NE 68135-4101
Phone number: 402-992-0186
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