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Individual

NINA G. SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMPH, CPC

Contact information

Practice address
2315 W 39TH ST, BOX 4, KEARNEY, NE 68845-8327
(308) 237-9403
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1105
NE
101Y00000X
Counselor
Primary
192
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1105
CPC
NE
01
192
LIMPH
NE
Enumeration date
12/16/2008
Last updated
12/16/2008
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