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1922374982
MICHELLE LYN MULLIGAN
OMAHA, NE
NPI
1922374982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IA 4837)
Enumeration Date
2012-03-23
Last Update Date
2012-03-23
Business Address
-- MICHELLE LYN MULLIGAN PTA
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 402-334-1919
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Mailing Address
-- MICHELLE LYN MULLIGAN PTA
2151 LINDEN RD
DEFIANCE, IA 51527-7118
Phone number: 712-748-8282
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