RANDALL SCOTT BAACK

SEWARD, NE
NPI1285739672
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  366)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
-- RANDALL SCOTT BAACK ATC
800 N COLUMBIA AVE
SEWARD, NE 68434-1556
Phone number: 402-643-7420
Mailing Address
-- RANDALL SCOTT BAACK ATC
110 LINCOLN ST
SEWARD, NE 68434-1533
Phone number: 402-643-6863
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