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1649727504
BRIELLE L SUPONCHICK
PAPILLION, NE
NPI
1649727504
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Former Name
BRIELLE L STANEK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NE 1983)
Enumeration Date
2016-09-07
Last Update Date
2018-12-07
Business Address
BRIELLE L SUPONCHICK M.S. CF-SLP
10601 S 72ND ST STE 103
PAPILLION, NE 68046
Phone number: 402-932-2782
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Mailing Address
BRIELLE L SUPONCHICK M.S. CF-SLP
10601 S 72ND ST STE 103
PAPILLION, NE 68046-3408
Phone number: 402-932-2782
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