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1942200936
RICK WAGELIE
OMAHA, NE
NPI
1942200936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NE # 421)
Enumeration Date
2005-07-30
Last Update Date
2015-03-18
Business Address
MR. RICK WAGELIE OTR/L
5156 S 197TH AVENUE CIR
OMAHA, NE 68135-3679
Phone number: 402-290-0931
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Mailing Address
MR. RICK WAGELIE OTR/L
5156 S 197TH AVENUE CIR
OMAHA, NE 68135-3679
Phone number: 402-290-0931
Copy
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