DANIEL BREDIN

LA VISTA, NE
NPI1598033284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NE  13378)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  21244)
Enumeration Date2011-12-08
Last Update Date2011-12-08
Business Address
-- DANIEL BREDIN
8380 HARRISON ST
LA VISTA, NE 68128-2918
Phone number: 402-592-7990
Mailing Address
-- DANIEL BREDIN
3535 N 175TH CT APT 332
OMAHA, NE 68116-2203
Phone number:
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