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1528700424
KHODY RAY ANTHONY LASSEK
OMAHA, NE
NPI
1528700424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
KHODY RAY ANTHONY LASSEK
8922 CUMING ST
OMAHA, NE 68114-2732
Phone number: 402-235-1504
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Mailing Address
KHODY RAY ANTHONY LASSEK
5916 S 96TH COURT #214
OMAHA, NE 68127
Phone number:
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