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1861848020
TERRY JOHN VAN GELDER
OMAHA, NE
NPI
1861848020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: NE 3390)
Enumeration Date
2016-05-06
Last Update Date
2016-05-06
Business Address
TERRY JOHN VAN GELDER LMT
1216 HOWARD ST
OMAHA, NE 68102-2819
Phone number: 402-880-0325
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Mailing Address
TERRY JOHN VAN GELDER LMT
2705 VANDENBERG AVE
BELLEVUE, NE 68123-1743
Phone number: 402-880-0325
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