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1164178992
KYLE ROBERT GOODBAN
LINCOLN, NE
NPI
1164178992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
KYLE ROBERT GOODBAN
5000 SAINT PAUL AVE
LINCOLN, NE 68504-2760
Phone number: 402-465-7508
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Mailing Address
KYLE ROBERT GOODBAN
10150 N 150TH ST
WAVERLY, NE 68462-1595
Phone number: 402-405-2145
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