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1457809733
TRACEY DAVIDSON
LINCOLN, NE
NPI
1457809733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: NE 60758)
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- TRACEY DAVIDSON
721 K ST
LINCOLN, NE 68508-2949
Phone number: 402-477-3951
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Mailing Address
-- TRACEY DAVIDSON
721 K ST
LINCOLN, NE 68508-2949
Phone number: 402-477-3951
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