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1699981985
CORY LYNN MCMANIGAL
SIDNEY, NE
NPI
1699981985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 1004)
Enumeration Date
2007-05-15
Last Update Date
2013-02-06
Business Address
-- CORY LYNN MCMANIGAL
1023 10TH AVE
SIDNEY, NE 69162-1611
Phone number: 308-254-0737
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Mailing Address
-- CORY LYNN MCMANIGAL
PO BOX 214
SIDNEY, NE 69162-0214
Phone number: 308-254-0737
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