Individual
GARY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7110 F ST, OMAHA, NE 68117-1014
(712) 328-2638
Mailing address
2565 NEWPORT AVE, OMAHA, NE 68112-3325
(402) 658-6652
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
H12145135
NE
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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