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Individual

MARGARET ALICE ANTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A. - C

Contact information

Practice address
710 S 17TH ST, OMAHA, NE 68102-3108
(402) 599-2309
Mailing address
9610 LINDEN AVE, BELLEVUE, NE 68147-2369
(402) 731-8228

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1076
NE

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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