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Individual

TYLER G VRBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSE, ATC

Contact information

Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1000
Mailing address
PO BOX 376, CERESCO, NE 68017-0376
(402) 276-4302

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
706
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
706
ATHELTIC TRAINER LICENSE NUMBER
NE
Enumeration date
09/02/2022
Last updated
09/02/2022
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