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1710627872
CONNIE LAKE
LINCOLN, NE
NPI
1710627872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
CONNIE LAKE
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
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Mailing Address
CONNIE LAKE
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
Copy
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