Individual
GREG LEE EDGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1613 FARNAM ST APT 202, OMAHA, NE 68102-2148
(531) 203-3201
Mailing address
210 S 16TH ST APT 703, OMAHA, NE 68102-1634
(531) 203-3201
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
C02008045
NE
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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