Individual
SAMUEL WILLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 HARNEY ST STE 105, OMAHA, NE 68102-1838
(402) 252-8181
Mailing address
1850 P ST APT 3406, LINCOLN, NE 68508-1787
(402) 305-4003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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