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Individual

BETHANY JEAN LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 991-5642
Mailing address
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107-1590
(402) 734-4110
(402) 991-5642

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1299
NE

Other

Enumeration date
02/20/2007
Last updated
07/08/2007
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