Individual
JUSTIN D. EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5801 N 33RD ST, LINCOLN, NE 68504-4665
(402) 416-0085
Mailing address
PO BOX 4, CERESCO, NE 68017-0004
(402) 416-0085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
163
NE
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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