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Individual

SHELBY RAE TRUSSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1299 FARNAM ST STE 300, OMAHA, NE 68102-1857
(402) 252-8181
Mailing address
1105 WORMS RD, GRAND ISLAND, NE 68801-1324
(785) 657-0173

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-248110
NE

Other

Enumeration date
12/15/2022
Last updated
12/15/2022
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