JACOB TYLER MORDHORST

OMAHA, NE
NPI1154802585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NE  665)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
JACOB TYLER MORDHORST CF-SLP
3706 MAPLE ST
OMAHA, NE 68111-3195
Phone number: 402-658-1083
Mailing Address
JACOB TYLER MORDHORST CF-SLP
3706 MAPLE ST
OMAHA, NE 68111-3195
Phone number: 402-658-1083
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