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Individual

DAWN LORI MALCOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5035 S 174TH ST, OMAHA, NE 68135-1419
(402) 813-2940
Mailing address
5035 S 174TH ST, OMAHA, NE 68135-1419
(402) 813-2940

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
457541
CA

Other

Enumeration date
02/04/2025
Last updated
02/04/2025
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