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Individual

MERRY MCCULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 660-8586
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 660-8586

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
121882
IA
363A00000X
Physician Assistant
Primary
2989
NE

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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