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Individual

EMILY CLAIRE STATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4220 L ST, OMAHA, NE 68107
(402) 717-7050
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
086319
IA
363A00000X
Physician Assistant
Primary
2095
NE

Other

Enumeration date
02/09/2017
Last updated
07/09/2018
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