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Individual

SEAN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4545 S 86TH ST, LINCOLN, NE 68526-9227
(402) 483-6990
(402) 483-7045
Mailing address
701 1/2 WASHINGTON ST, BEATRICE, NE 68310-2365
(402) 228-9431
(402) 483-7045

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8046
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
96097
BCBS AUXILARY
NE
Enumeration date
09/16/2006
Last updated
07/08/2007
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