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1730510181
DESLIE ERVIN
LINCOLN, NE
NPI
1730510181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NE 1777)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
-- DESLIE ERVIN
225 N 56TH ST
LINCOLN, NE 68504-3519
Phone number: 402-467-0116
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Mailing Address
-- DESLIE ERVIN
4340 J ST
LINCOLN, NE 68510-3631
Phone number: 402-467-0116
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