IZAAC KITSMILLER

OMAHA, NE
NPI1447761770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE  867)
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
IZAAC KITSMILLER ATC, LAT
3215 CUMING ST
OMAHA, NE 68131-2000
Phone number: 308-383-3716
Mailing Address
IZAAC KITSMILLER ATC, LAT
1530 FAIRFIELD ST
LINCOLN, NE 68521-1648
Phone number: 308-383-3716
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