Individual
GONGLIANG JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4017
(402) 559-6749
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-4017
(402) 559-6749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
682
NE
Other
Enumeration date
05/05/2006
Last updated
06/29/2011
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