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Individual

MR. JERRY WAYNE MYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2464 HARNEY ST APT 2, OMAHA, NE 68131-3646
(402) 905-7512
Mailing address
2464 HARNEY ST APT 2, OMAHA, NE 68131-3646
(402) 905-7512

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
12/03/2025
Last updated
12/03/2025
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