KELON EDWARD RICHARDSON

LINCOLN, NE
NPI1952045858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2022-04-26
Last Update Date2022-04-26
Business Address
KELON EDWARD RICHARDSON
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
Mailing Address
KELON EDWARD RICHARDSON
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
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