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Organization
JOSE GARY NADALA CORPORATION
Active
Organization
JOSE GARY NADALA CORPORATION
Active
Other names
JOSE GARY NADALA
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WITZKE-KONRADI (MANAGER)
(402) 474-1511
Entity
Organization
Contact information
Practice address
2222 S 16TH ST STE 410, LINCOLN, NE 68502-3785
(402) 474-1511
(402) 474-1611
Mailing address
2222 S 16TH ST STE 410, LINCOLN, NE 68502-3785
(402) 474-1511
(402) 474-1611
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
06/22/2021
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