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Individual

CHIP DONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6626 N 37TH ST, OMAHA, NE 68112-2930
(531) 255-2800
Mailing address
4911 N 64TH ST, OMAHA, NE 68104-1908
(531) 495-7636

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
03/13/2026
Last updated
03/13/2026
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