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1477219152
NICHOLAS EMMANUEL FALCON
COUNCIL BLUFFS, IA
NPI
1477219152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NE 12738)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
NICHOLAS EMMANUEL FALCON PLMHP, TLMHC
300 W BROADWAY STE 270
COUNCIL BLUFFS, IA 51503-9028
Phone number: 712-256-7511
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Mailing Address
NICHOLAS EMMANUEL FALCON PLMHP, TLMHC
2105 MAYFLOWER RD
BELLEVUE, NE 68123-4703
Phone number: 402-575-0365
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