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1457828717
MARISSA VILLAFUERTE
OMAHA, NE
NPI
1457828717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
MARISSA VILLAFUERTE ATC
5804 S 140TH AVE
OMAHA, NE 68137-2845
Phone number: 309-531-7296
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Mailing Address
MARISSA VILLAFUERTE ATC
5804 S 140TH AVE
OMAHA, NE 68137-2845
Phone number: 309-531-7296
Copy
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