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1649656265
TIMOTHY L JEFFERSON
OMAHA, NE
NPI
1649656265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
-- TIMOTHY L JEFFERSON
6502 SORENSEN PKWY
OMAHA, NE 68152-2138
Phone number: 402-502-9788
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Mailing Address
-- TIMOTHY L JEFFERSON
6132 N 78TH AVE
OMAHA, NE 68134-2100
Phone number: 402-991-8693
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