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Individual

DUSTI BOSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
124 S 24TH ST, 200, OMAHA, NE 68102-1226
(402) 661-7100
(402) 978-5637
Mailing address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5095

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/29/2011
Last updated
03/29/2011
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