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Individual

MRS. TAMMY LEA WIESELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
709 SAINT JAMES AVE, WYNOT, NE 68792-2086
(402) 357-2121
(402) 357-2524
Mailing address
56608 894 RD, WYNOT, NE 68792-3010
(402) 357-2515

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
50339
NE

Other

Enumeration date
06/14/2021
Last updated
06/14/2021
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