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1780042283
DAVID PHILLIP CAMACHO
GRAND ISLAND, NE
NPI
1780042283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1435)
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
-- DAVID PHILLIP CAMACHO PTA
2300 W CAPITAL AVE
GRAND ISLAND, NE 68803-2003
Phone number: 308-385-6252
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Mailing Address
-- DAVID PHILLIP CAMACHO PTA
2115 W 10TH ST
GRAND ISLAND, NE 68803-3611
Phone number: 308-268-3157
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