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1629497755
CLINT ALBERT BOLLOCK
OMAHA, NE
NPI
1629497755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NE 101417)
Enumeration Date
2014-04-16
Last Update Date
2022-10-04
Business Address
Mr. CLINT ALBERT BOLLOCK MSN, CRNA
2808 S 143RD PLZ
OMAHA, NE 68144-5611
Phone number: 402-609-1485
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Mailing Address
Mr. CLINT ALBERT BOLLOCK MSN, CRNA
17245 COLONY DR
OMAHA, NE 68136-1403
Phone number: 402-206-1757
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