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1790404168
JESSICA LAVON PRESCOTT
OMAHA, NE
NPI
1790404168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
JESSICA LAVON PRESCOTT
7418 N 77TH AVE
OMAHA, NE 68122-1680
Phone number: 402-661-4512
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Mailing Address
JESSICA LAVON PRESCOTT
7418 N 77TH AVE
OMAHA, NE 68122-1680
Phone number: 402-661-4512
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