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1982900148
SAMUEL C RIDGE
LINCOLN, NE
NPI
1982900148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-02-07
Last Update Date
2011-02-08
Business Address
Mr. SAMUEL C RIDGE
2201 S 17TH ST
LINCOLN, NE 68502-3713
Phone number: 402-441-7940
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Mailing Address
Mr. SAMUEL C RIDGE
2201 S 17TH ST
LINCOLN, NE 68502-3713
Phone number: 402-441-7940
Copy
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