Individual
NICKOLAS DEOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
506 E 12TH ST, MC COOK, NE 69001-3599
(308) 345-1530
Mailing address
506 E 12TH ST, MC COOK, NE 69001-3599
(308) 345-1530
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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