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1184998619
JEFFREY KUPSTAS
OMAHA, NE
NPI
1184998619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: PA TEI003179)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- JEFFREY KUPSTAS
11850 NICHOLAS ST STE 100
OMAHA, NE 68154-4476
Phone number: 877-230-3885
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Mailing Address
-- JEFFREY KUPSTAS
442 CENTER AVE
JIM THORPE, PA 18229-1210
Phone number:
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