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1124671268
KIYA LEIGH STACK
LINCOLN, NE
NPI
1124671268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 7569)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
KIYA LEIGH STACK
4000 E CAMPUS LOOP S
LINCOLN, NE 68583-1530
Phone number: 402-472-1333
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Mailing Address
KIYA LEIGH STACK
3835 BALDWIN AVE APT 68
LINCOLN, NE 68504-4107
Phone number: 308-430-2379
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