DAVID ICENOGLE

OMAHA, NE
NPI1972109627
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
DAVID ICENOGLE
4001 LEAVENWORTH ST
OMAHA, NE 68105-1026
Phone number: 402-341-5128
Mailing Address
DAVID ICENOGLE
4001 LEAVENWORTH ST
OMAHA, NE 68105-1026
Phone number: 402-341-5128
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