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1417690256
TANNER SCOTT MITCHELL
LINCOLN, NE
NPI
1417690256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
TANNER SCOTT MITCHELL
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
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Mailing Address
TANNER SCOTT MITCHELL
5905 O ST
LINCOLN, NE 68510-2235
Phone number:
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