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1871152736
CODY WISNIESKI
NORFOLK, NE
NPI
1871152736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 3966)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
CODY WISNIESKI
2108 TAYLOR AVE STE 1100
NORFOLK, NE 68701-4642
Phone number: 402-371-7545
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Mailing Address
CODY WISNIESKI
1201 CHAROLAIS DR
NORFOLK, NE 68701-2549
Phone number: 402-380-4827
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