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1306662739
DESA RENAE IHDE
LINCOLN, NE
NPI
1306662739
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Former Name
DESA RENAE WOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
DESA RENAE IHDE
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1000
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Mailing Address
DESA RENAE IHDE
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1000
Copy
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