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Individual

TANNER WESLEY HALLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11011 Q ST STE 101C, OMAHA, NE 68137-3700
(402) 697-5121
Mailing address
2817 W 5TH ST, NORTH PLATTE, NE 69101-1305
(308) 660-2159

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
H13919083
NE
372600000X
Adult Companion
Primary
H13919083
NE
3747P1801X
Personal Care Attendant
H13919083
NE

Other

Enumeration date
04/23/2025
Last updated
04/23/2025
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