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1649713215
KRISTINE LOUISE LEICK
OMAHA, NE
NPI
1649713215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 852)
Enumeration Date
2016-11-29
Last Update Date
2022-08-10
Business Address
Mrs. KRISTINE LOUISE LEICK MAT LAT ATC
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-955-6300
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Mailing Address
Mrs. KRISTINE LOUISE LEICK MAT LAT ATC
7127 N 172ND ST # 10
BENNINGTON, NE 68007-3333
Phone number:
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