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Individual

JUDY E FAKETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18012 JOSEPHINE ST, OMAHA, NE 68136-1306
(402) 719-7731
Mailing address
517 9TH ST, SCRIBNER, NE 68057-3072
(904) 716-5525

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
07/14/2025
Last updated
07/14/2025
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