RUSSELL ULRICH

LINCOLN, NE
NPI1467802660
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  413)
Enumeration Date2016-06-17
Last Update Date2016-06-17
Business Address
-- RUSSELL ULRICH
575 S 70TH ST STE #200
LINCOLN, NE 68510-2471
Phone number: 402-380-2249
Mailing Address
-- RUSSELL ULRICH
1801 S 42ND ST
LINCOLN, NE 68506-1112
Phone number:
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