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1154771269
JORDAN J MAKOVICKA
OMAHA, NE
NPI
1154771269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 3583)
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
JORDAN J MAKOVICKA PT
10831 OLD MILL RD 300
OMAHA, NE 68154-2640
Phone number: 402-502-2290
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Mailing Address
JORDAN J MAKOVICKA PT
3830 N 167TH CT
OMAHA, NE 68116-8067
Phone number: 402-502-2290
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