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1144490418
DIANE MARIE MCKIERNAN
LAVISTA, NE
NPI
1144490418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 272)
Enumeration Date
2008-03-03
Last Update Date
2008-03-03
Business Address
-- DIANE MARIE MCKIERNAN
7105 S 83RD ST APT 2
LAVISTA, NE 68128-2195
Phone number: 402-502-2703
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Mailing Address
-- DIANE MARIE MCKIERNAN
7105 S 83RD ST APT 2
LAVISTA, NE 68128-2195
Phone number:
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