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1770002636
L. PEREZ DE PONCE
OMAHA, NE
NPI
1770002636
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Entity Type
Organization
Authorized Contact
NAYDE L PEREZ DE PONCE
Owner
402-616-2718
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
L. PEREZ DE PONCE
14421 DUPONT CT
OMAHA, NE 68144-2100
Phone number: 402-884-6400
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Mailing Address
L. PEREZ DE PONCE
14421 DUPONT CT
OMAHA, NE 68144-2100
Phone number: 402-886-6400
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