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1265771174
TEDD MICHAEL BURGASON
LINCOLN, NE
NPI
1265771174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NE 1867)
Enumeration Date
2013-02-12
Last Update Date
2021-09-14
Business Address
Mr. TEDD MICHAEL BURGASON LIMHP
6710 L ST STE 20
LINCOLN, NE 68510-2303
Phone number: 928-231-0645
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Mailing Address
Mr. TEDD MICHAEL BURGASON LIMHP
6418 BALDWIN AVE
LINCOLN, NE 68507-2529
Phone number: 928-231-0645
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