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Individual

CAROL JEAN SHIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11825 Q ST, OMAHA, NE 68137-3503
(800) 856-5457
Mailing address
11825 Q ST, OMAHA, NE 68137-3503
(800) 856-5457

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN282604
OH

Other

Enumeration date
05/05/2008
Last updated
05/05/2008
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