DONTAE SALLIS

OMAHA, NE
NPI1932624822
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-08-11
Last Update Date2017-08-11
Business Address
DONTAE SALLIS
2505 N 24TH ST
OMAHA, NE 68110-2252
Phone number: 402-451-5549
Mailing Address
DONTAE SALLIS
2505 N 24TH ST
OMAHA, NE 68110-2252
Phone number: 402-451-5549
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