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1942752605
KELLY H. HANNEMAN
OMAHA, NE
NPI
1942752605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
(Licence: NE 2002)
Enumeration Date
2016-10-28
Last Update Date
2016-10-28
Business Address
-- KELLY H. HANNEMAN L.M.T
3015 S 119TH ST
OMAHA, NE 68144-4513
Phone number: 402-490-4086
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Mailing Address
-- KELLY H. HANNEMAN L.M.T
3015 S 119TH STREET
OMAHA, NE 68144
Phone number: 402-490-4086
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