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1164616843
SHASTA NICOLE LITTLEFIELD
OMAHA, NE
NPI
1164616843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK ta840)
Enumeration Date
2007-09-05
Last Update Date
2007-09-05
Business Address
-- SHASTA NICOLE LITTLEFIELD rpta
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 402-334-6022
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Mailing Address
-- SHASTA NICOLE LITTLEFIELD rpta
PO BOX 453068
GROVE, OK 74345-3068
Phone number: 918-791-8104
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