STEPHANNIE JO MACA

OMAHA, NE
NPI1871118018
Former NameSTEPHANNIE JO POTTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  428)
Enumeration Date2020-06-13
Last Update Date2020-06-13
Business Address
STEPHANNIE JO MACA ATC
5120 MAPLE ST
OMAHA, NE 68104-3555
Phone number: 402-366-2561
Mailing Address
STEPHANNIE JO MACA ATC
7526 N 279TH ST
VALLEY, NE 68064-8046
Phone number: 402-366-2561
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