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1366800955
REGINALD PRINCE
OMAHA, NE
NPI
1366800955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE P-1380)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
Mr. REGINALD PRINCE PLADC
8109 FORT ST
OMAHA, NE 68134-2256
Phone number: 402-830-3890
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Mailing Address
Mr. REGINALD PRINCE PLADC
8109 FORT ST
OMAHA, NE 68134-2256
Phone number: 402-830-3890
Copy
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