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1528519923
JUSTIN ANNIN
PAPILLION, NE
NPI
1528519923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 608)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
-- JUSTIN ANNIN ATC
12419 S 79TH AVE
PAPILLION, NE 68046-4694
Phone number: 402-991-9792
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Mailing Address
-- JUSTIN ANNIN ATC
12419 S 79TH AVE
PAPILLION, NE 68046-4694
Phone number: 402-991-9792
Copy
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