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1164624219
PATRICK JAY LIEBSACK
HASTINGS, NE
NPI
1164624219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE 32)
Enumeration Date
2007-06-01
Last Update Date
2007-07-08
Business Address
MR. PATRICK JAY LIEBSACK ATC
715 N SAINT JOSEPH AVE
HASTINGS, NE 68901-4451
Phone number: 402-984-1909
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Mailing Address
MR. PATRICK JAY LIEBSACK ATC
1212 W KOENIG ST
GRAND ISLAND, NE 68801-5748
Phone number: 308-384-4407
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