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1689211633
MAKEDA RUSS
OMAHA, NE
NPI
1689211633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
MAKEDA RUSS
2927 S 148TH ST
OMAHA, NE 68144-3257
Phone number: 402-277-0540
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Mailing Address
MAKEDA RUSS
2927 S 148TH ST
OMAHA, NE 68144-3257
Phone number:
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