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1730144726
BRIAN TIMOTHY BERTHELSEN
OMAHA, NE
NPI
1730144726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 230)
Enumeration Date
2006-04-20
Last Update Date
2007-07-08
Business Address
Mr. BRIAN TIMOTHY BERTHELSEN ATC
2220 S 123RD ST
OMAHA, NE 68144-2735
Phone number: 402-333-5305
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Mailing Address
Mr. BRIAN TIMOTHY BERTHELSEN ATC
2220 S 123RD ST
OMAHA, NE 68144-2735
Phone number: 402-333-5305
Copy
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