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1669157699
THERESA BONIFANT
LINCOLN, NE
NPI
1669157699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1583)
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
Mrs. THERESA BONIFANT PTA
1750 S 20TH ST
LINCOLN, NE 68502-2611
Phone number: 402-475-6791
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Mailing Address
Mrs. THERESA BONIFANT PTA
488 L RD
PALMYRA, NE 68418-4075
Phone number: 402-432-4358
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