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1144951864
WYATT JAMES KIPP
BELLEVUE, NE
NPI
1144951864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4332)
Enumeration Date
2022-06-22
Last Update Date
2022-06-22
Business Address
WYATT JAMES KIPP DPT
1702 HILLCREST DR
BELLEVUE, NE 68005-3652
Phone number: 402-291-8500
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Mailing Address
WYATT JAMES KIPP DPT
11435 GERTRUDE CT APT 201
LA VISTA, NE 68128-4794
Phone number: 308-655-0645
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