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Individual

MR. ANTHONY CHARLES TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
6001 DODGE ST, FH 024, OMAHA, NE 68182-1102
(402) 594-4953
Mailing address
6001 DODGE ST, FH 024, OMAHA, NE 68182-1102
(402) 594-4953

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
00583
IA
2255A2300X
Athletic Trainer
Primary
663
NE

Other

Enumeration date
06/25/2007
Last updated
11/01/2013
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