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1831303049
LARRY JAMES HOLMQUIST
LINCOLN, NE
NPI
1831303049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NE 311)
Enumeration Date
2007-05-09
Last Update Date
2007-07-08
Business Address
LARRY JAMES HOLMQUIST LADC
2220 S 10TH ST
LINCOLN, NE 68502-3445
Phone number: 402-475-7315
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Mailing Address
LARRY JAMES HOLMQUIST LADC
2633 P ST
LINCOLN, NE 68503-3528
Phone number: 402-475-7315
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