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1891285581
KYLE ANDREW JISA
LINCOLN, NE
NPI
1891285581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NE 34621)
Enumeration Date
2018-05-17
Last Update Date
2022-10-21
Business Address
KYLE ANDREW JISA MD
3201 SOUTH ST
LINCOLN, NE 68502
Phone number: 402-413-8575
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Mailing Address
KYLE ANDREW JISA MD
3201 SOUTH ST #174
LINCOLN, NE 68502
Phone number: 402-413-8575
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