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1861197303
PHILIP KONRAD STARK
LINCOLN, NE
NPI
1861197303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
PHILIP KONRAD STARK
4600 VALLEY RD
LINCOLN, NE 68510-4855
Phone number: 402-483-4591
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Mailing Address
PHILIP KONRAD STARK
4600 VALLEY RD
LINCOLN, NE 68510-4855
Phone number: 402-483-4591
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