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Individual

PEYTON VASA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1298 HRUBY LN, WAHOO, NE 68066-1061
(402) 803-4316
Mailing address
1298 HRUBY LN, WAHOO, NE 68066-1061

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
NE
3747P1801X
Personal Care Attendant

Other

Enumeration date
05/20/2026
Last updated
05/20/2026
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