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1619275005
TERESA NICOLE IGWENMA
OMAHA, NE
NPI
1619275005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NE 726)
Enumeration Date
2011-03-09
Last Update Date
2011-03-09
Business Address
-- TERESA NICOLE IGWENMA COTA/L
15680 JACKSON DR
OMAHA, NE 68118-2102
Phone number: 402-393-7313
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Mailing Address
-- TERESA NICOLE IGWENMA COTA/L
15680 JACKSON DR
OMAHA, NE 68118-2102
Phone number: 402-393-7313
Copy
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