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1710548532
LAURA GROTELUSCHEN
LINCOLN, NE
NPI
1710548532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1022)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
LAURA GROTELUSCHEN
9401 ANDERMATT DR
LINCOLN, NE 68526-9507
Phone number: 402-476-3274
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Mailing Address
LAURA GROTELUSCHEN
825 COLUMBINE CIR
HICKMAN, NE 68372-9839
Phone number:
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