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Organization

PIONEER TOTALTRADE MEDICAL ALARM MEDICAL NUTRITION THERAPY SYSTEMS, LL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAPHAEL ADAMS OVONLEN LMNT (CEO)
(402) 403-5700
Entity
Organization

Contact information

Practice address
2505 N 24TH ST, STE 310, OMAHA, NE 68110-2252
(402) 403-5700
(888) 550-3609
Mailing address
2505 N 24TH ST, STE 310, OMAHA, NE 68110-2252
(402) 403-5700
(888) 550-3609

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
752
NE

Other

Enumeration date
07/29/2009
Last updated
07/29/2009
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