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Individual

DR. EMILY DIANE MALMSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
14438 W CENTER RD, OMAHA, NE 68144-3217
(402) 651-1572
(402) 408-9739
Mailing address
14438 W CENTER RD, OMAHA, NE 68144-3217
(402) 210-2212
(402) 408-9739

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1590
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025947200
NE
Enumeration date
12/01/2009
Last updated
06/04/2014
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