JACK LAVALLIE

OMAHA, NE
NPI1538093018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2026-06-10
Last Update Date2026-06-10
Business Address
JACK LAVALLIE
6029 PRATT ST
OMAHA, NE 68104-2718
Phone number: 531-346-6979
Mailing Address
JACK LAVALLIE
1299 FARNAM ST
OMAHA, NE 68102-1880
Phone number:
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