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Individual

GARY A ELSASSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.,C.C.S.T.

Contact information

Practice address
11906 I ST, OMAHA, NE 68137-1244
(402) 333-0352
(402) 333-0731
Mailing address
11906 I ST, OMAHA, NE 68137-1244
(402) 333-0352
(402) 333-0731

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
762
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
68021309000
NE
Enumeration date
11/06/2006
Last updated
07/08/2007
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