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1164054144
JAMES LAVICKY
LINCOLN, NE
NPI
1164054144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
JAMES LAVICKY
5340 W AURORA ST
LINCOLN, NE 68524-2159
Phone number: 402-470-3579
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Mailing Address
JAMES LAVICKY
5340 W AURORA ST
LINCOLN, NE 68524-2159
Phone number:
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