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1134464902
DIANE COUNTRYMAN
OMAHA, NE
NPI
1134464902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 995)
Enumeration Date
2012-12-05
Last Update Date
2012-12-05
Business Address
Ms. DIANE COUNTRYMAN PTA
1003 MERCER BLVD
OMAHA, NE 68131-1216
Phone number: 402-212-1629
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Mailing Address
Ms. DIANE COUNTRYMAN PTA
1003 MERCER BLVD
OMAHA, NE 68131-1216
Phone number:
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