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1215300843
JORDAN DAVID LILL
OMAHA, NE
NPI
1215300843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NE 10727)
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2015-11-04
Last Update Date
2015-12-08
Business Address
JORDAN DAVID LILL
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-6408
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Mailing Address
JORDAN DAVID LILL
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-6408
Copy
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