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Individual

NICOLE RUGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PLMHP

Contact information

Practice address
6681 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 932-8884
Mailing address
4109 S 147TH PLZ APT 203, OMAHA, NE 68137-5509
(847) 946-4376

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11784
NE

Other

Enumeration date
06/23/2019
Last updated
06/23/2019
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