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1790452795
TYLER J SPENCE
OMAHA, NE
NPI
1790452795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 1936)
Enumeration Date
2021-08-26
Last Update Date
2021-08-26
Business Address
TYLER J SPENCE PTA
4832 S 24TH ST
OMAHA, NE 68107-2703
Phone number: 402-502-1819
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Mailing Address
TYLER J SPENCE PTA
4832 S 24TH ST
OMAHA, NE 68107-2703
Phone number: 402-502-1819
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