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1528047156
MICHAEL ELVIN ROBERTS
OMAHA, NE
NPI
1528047156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 316)
Enumeration Date
2006-01-12
Last Update Date
2016-03-30
Business Address
-- MICHAEL ELVIN ROBERTS ATC
2725 S 144TH ST STE 212
OMAHA, NE 68144-5243
Phone number: 402-637-0668
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Mailing Address
-- MICHAEL ELVIN ROBERTS ATC
2725 S 144TH ST STE 212
OMAHA, NE 68144-5243
Phone number: 402-637-0668
Copy
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