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Individual

SAMUEL MERTENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
917 E 25TH ST APT 4, KEARNEY, NE 68847-4655
(785) 202-1374
Mailing address
917 E 25TH ST APT 4, KEARNEY, NE 68847-4655
(785) 202-1374

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
791696

Other

Enumeration date
06/28/2022
Last updated
06/28/2022
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