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KALVONNA R STAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5102 N 166TH PLZ APT B202, OMAHA, NE 68116-3795
(402) 321-7207
Mailing address
5102 N 166TH PLZ APT B202, OMAHA, NE 68116-3795
(402) 321-7207

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27792
NE

Other

Enumeration date
12/07/2024
Last updated
12/07/2024
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