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Individual

MRS. ASHLEY RENEE DESCHAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
EMILY 42ND ST, OMAHA, NE 68198-0001
(402) 955-8125
(402) 955-8140
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
01072687
IN
2080P0214X
Pediatric Pulmonology Physician
Primary
29879
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201099850
IN
Enumeration date
05/02/2010
Last updated
05/09/2017
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