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1831599513
SHALAKO HANOVER
OMAHA, NE
NPI
1831599513
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2014-08-29
Last Update Date
2014-08-29
Business Address
-- SHALAKO HANOVER
10911 ARLINGTON PLZ APT 1634
OMAHA, NE 68164-4432
Phone number: 208-412-0797
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Mailing Address
-- SHALAKO HANOVER
10911 ARLINGTON PLZ APT 1634
OMAHA, NE 68164-4432
Phone number:
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