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1588341077
MICAH PETERSEN
OMAHA, NE
NPI
1588341077
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
MICAH PETERSEN
9012 Q ST
OMAHA, NE 68127-3549
Phone number: 402-552-9756
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Mailing Address
MICAH PETERSEN
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-8943
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