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1215194790
DEREK W RICHARDSON
HOLDREGE, NE
NPI
1215194790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 833)
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
MR. DEREK W RICHARDSON PTA
302 HANCOCK ST
HOLDREGE, NE 68949-2741
Phone number: 308-991-1673
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Mailing Address
MR. DEREK W RICHARDSON PTA
302 HANCOCK ST
HOLDREGE, NE 68949-2741
Phone number:
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