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Individual

ANGELA KARA BRASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
106 N JUNIPER AVE, DAVENPORT, NE 68335-3010
(402) 364-2225
(402) 364-2477
Mailing address
2369 ROAD 5000, DAVENPORT, NE 68335-9442
(402) 364-2496
(402) 364-2496

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
74233
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
74233
STATE OF NEBRASKA
NE
Enumeration date
03/04/2019
Last updated
03/04/2019
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