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1023107356
FREDERICK PETTY
OMAHA, NE
NPI
1023107356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NE 21938)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
Dr. FREDERICK PETTY M.D.
4101 WOOLWORTH AVE 116A
OMAHA, NE 68105-1850
Phone number: 402-346-8800
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Mailing Address
Dr. FREDERICK PETTY M.D.
4101 WOOLWORTH AVE 116A
OMAHA, NE 68105-1850
Phone number: 402-346-8800
Copy
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