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1437642550
WILLIE R AUSTIN
OMAHA, NE
NPI
1437642550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 1207)
Enumeration Date
2018-06-13
Last Update Date
2018-06-13
Business Address
WILLIE R AUSTIN
1941 S 42ND ST STE 540
OMAHA, NE 68105-2986
Phone number: 402-452-0102
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Mailing Address
WILLIE R AUSTIN
1941 S 42ND ST STE 540
OMAHA, NE 68105-2986
Phone number: 402-452-0102
Copy
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