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1295489557
STEPHANIE DETAMORE
GRAND ISLAND, NE
NPI
1295489557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
STEPHANIE DETAMORE
1811 W 2ND ST STE 450
GRAND ISLAND, NE 68803-5473
Phone number: 308-379-8619
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Mailing Address
STEPHANIE DETAMORE
1811 W 2ND ST STE 450
GRAND ISLAND, NE 68803-5473
Phone number: 308-379-8619
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