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Individual

MR. JEFFREY A PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
10813 S 109TH ST, PAPILLION, NE 68046-5534
(402) 968-0812
Mailing address
10813 S 109TH ST, PAPILLION, NE 68046-5534
(402) 968-0812

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
80127
NE

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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