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Individual

LINDA MIODONSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
102 W GRUENTHER RD, GRETNA, NE 68028-4828
(402) 332-2772
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
120540
IA
363A00000X
Physician Assistant
Primary
2943
NE

Other

Enumeration date
09/07/2022
Last updated
08/24/2023
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