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1568188720
MITCHELL ANDERSON
OMAHA, NE
NPI
1568188720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 943)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
MITCHELL ANDERSON PTA
11104 Y ST
OMAHA, NE 68137-4670
Phone number: 405-490-8677
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Mailing Address
MITCHELL ANDERSON PTA
11104 Y ST
OMAHA, NE 68137-4670
Phone number: 402-490-8677
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