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1386941185
ANGELO D MELGOZA
OMAHA, NE
NPI
1386941185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: NE P-575)
Enumeration Date
2011-02-15
Last Update Date
2011-02-15
Business Address
ANGELO D MELGOZA PLADC
3483 LARIMORE AVE
OMAHA, NE 68111-2383
Phone number: 402-455-8303
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Mailing Address
ANGELO D MELGOZA PLADC
3483 LARIMORE AVE
OMAHA, NE 68111-2383
Phone number: 402-455-8303
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