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1548985906
JOHNNY WELLS
OMAHA, NE
NPI
1548985906
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Former Name
LAURA BETH WELLS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 13163)
Enumeration Date
2022-10-07
Last Update Date
2022-10-07
Business Address
JOHNNY WELLS
2126 N 117TH AVE
OMAHA, NE 68164-3670
Phone number: 402-934-1617
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Mailing Address
JOHNNY WELLS
702 S 38TH ST APT 12
OMAHA, NE 68105-1142
Phone number: 402-525-3248
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