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1811363765
KIM MIKOS
GRETNA, NE
NPI
1811363765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NE 667)
Enumeration Date
2015-08-14
Last Update Date
2015-08-14
Business Address
-- KIM MIKOS
11221 NORTHRIDGE DR
GRETNA, NE 68028-6935
Phone number: 402-332-5578
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Mailing Address
-- KIM MIKOS
20003 MAPLE ST
GRETNA, NE 68028-4367
Phone number:
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