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1376154252
MATTISON IDELL ANDERSON
CALLAWAY, NE
NPI
1376154252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NE 772)
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
MATTISON IDELL ANDERSON
101 N, S NEEDHAM AVE
CALLAWAY, NE 68825
Phone number: 308-836-2272
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Mailing Address
MATTISON IDELL ANDERSON
44120 ROAD 756
LEXINGTON, NE 68850-3754
Phone number: 308-746-1823
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