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1851665244
BRANDON K GREEN
LINCOLN, NE
NPI
1851665244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: CPO03152)
Enumeration Date
2012-03-01
Last Update Date
2012-03-01
Business Address
-- BRANDON K GREEN
2120 S 56TH ST SUITE 204
LINCOLN, NE 68506-2118
Phone number: 308-627-3198
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Mailing Address
-- BRANDON K GREEN
2120 S 56TH ST SUITE 204
LINCOLN, NE 68506-2118
Phone number:
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