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1457590846
REBECCA LYN WARDLAW
OMAHA, NE
NPI
1457590846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 441)
Enumeration Date
2009-02-09
Last Update Date
2009-02-09
Business Address
-- REBECCA LYN WARDLAW ATC, MA, LAT
12809 W DODGE RD
OMAHA, NE 68154-2155
Phone number: 402-206-1945
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Mailing Address
-- REBECCA LYN WARDLAW ATC, MA, LAT
13312 JAYNES PLZ APT 305
OMAHA, NE 68164-1059
Phone number: 402-499-5260
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