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1992067169
MARK L STANGE
OMAHA, NE
NPI
1992067169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 9652)
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- MARK L STANGE PLMHP
6677 SORENSEN PKWY
OMAHA, NE 68152-2139
Phone number: 402-932-8444
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Mailing Address
-- MARK L STANGE PLMHP
558 ASHLAND RD
ASHLAND, NE 68003-1192
Phone number: 402-301-1551
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