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Individual

ETHAN ERIK BALKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14210 ARBOR ST STE A, OMAHA, NE 68144-2382
(531) 999-1133
Mailing address
5504 S ST, OMAHA, NE 68117-2347
(402) 305-7746

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/19/2025
Last updated
03/04/2026
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