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1780159012
AMY NUCKOLES
ELKHORN, NE
NPI
1780159012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1719)
Enumeration Date
2018-10-13
Last Update Date
2018-10-13
Business Address
AMY NUCKOLES PTA
600 BROOKSTONE MEADOWS PLZ
ELKHORN, NE 68022-4401
Phone number: 402-289-2696
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Mailing Address
AMY NUCKOLES PTA
6652 PARK CREST DR
PAPILLION, NE 68133-2294
Phone number: 843-367-4171
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