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1174178388
ANDREW SPENCER
GRAND ISLAND, NE
NPI
1174178388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 783)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
ANDREW SPENCER
3535 W 13TH ST STE 121
GRAND ISLAND, NE 68803-3302
Phone number: 308-675-1853
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Mailing Address
ANDREW SPENCER
1904 MEADOW RD
GRAND ISLAND, NE 68803-1583
Phone number: 308-850-7766
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