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1194962167
ELIJAH DACY
LINCOLN, NE
NPI
1194962167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-01-13
Last Update Date
2009-01-13
Business Address
-- ELIJAH DACY
1100 VALE ST
LINCOLN, NE 68521-2068
Phone number: 402-880-3090
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Mailing Address
-- ELIJAH DACY
1100 VALE ST
LINCOLN, NE 68521-2068
Phone number: 402-880-3090
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