PAUL GREGORY ELAM

OMAHA, NE
NPI1861771099
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: NE  353)
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
Mr. PAUL GREGORY ELAM PTA
4809 REDMAN AVE
OMAHA, NE 68104-1842
Phone number: 402-455-5025
Mailing Address
Mr. PAUL GREGORY ELAM PTA
4855 S 126TH ST
OMAHA, NE 68137-2047
Phone number: 402-216-4895
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