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1487075909
JORDAN WYATT RICE
OMAHA, NE
NPI
1487075909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA Op007712)
Enumeration Date
2013-12-31
Last Update Date
2013-12-31
Business Address
-- JORDAN WYATT RICE Cota
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 866-334-1919
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Mailing Address
-- JORDAN WYATT RICE Cota
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number:
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