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1386176428
MICAELA KELSO-OTIENO
CRETE, NE
NPI
1386176428
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Other Name
MICAELA KELSO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 481)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
-- MICAELA KELSO-OTIENO ATC
1014 BOSWELL AVE
CRETE, NE 68333-2426
Phone number: 402-826-8328
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Mailing Address
-- MICAELA KELSO-OTIENO ATC
580 E 1ST ST
CRETE, NE 68333-3101
Phone number:
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