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Individual

MR. DANIEL JOSEPH STAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PLMHP

Contact information

Practice address
5824 S 142ND ST STE A, OMAHA, NE 68137-2872
(402) 598-2725
Mailing address
5824 S 142ND ST STE A, OMAHA, NE 68137-2872
(402) 598-2725

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/24/2012
Last updated
09/18/2023
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