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1679502124
JUSTIN D. EGGLESTON
LINCOLN, NE
NPI
1679502124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NE 163)
Enumeration Date
2006-06-30
Last Update Date
2007-07-08
Business Address
JUSTIN D. EGGLESTON ATC
5801 N 33RD ST
LINCOLN, NE 68504-4665
Phone number: 402-416-0085
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Mailing Address
JUSTIN D. EGGLESTON ATC
PO BOX 4
CERESCO, NE 68017-0004
Phone number: 402-416-0085
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