TAVAIS LAMONT MINOR

OMAHA, NE
NPI1407746712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2025-07-08
Last Update Date2025-07-08
Business Address
TAVAIS LAMONT MINOR
4211 S 143RD CIR
OMAHA, NE 68137-4505
Phone number: 402-637-8668
Mailing Address
TAVAIS LAMONT MINOR
4211 S 143RD CIR
OMAHA, NE 68137-4505
Phone number: 402-502-8001
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