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1972235166
ISAAC J MATTIS
LINCOLN, NE
NPI
1972235166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NE 9475)
Enumeration Date
2022-06-27
Last Update Date
2022-06-27
Business Address
ISAAC J MATTIS
4600 VALLEY RD STE 20
LINCOLN, NE 68510-4855
Phone number: 402-483-4571
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Mailing Address
ISAAC J MATTIS
4600 VALLEY RD STE 20
LINCOLN, NE 68510-4855
Phone number:
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