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1114016607
LARRA RAE PETERSEN-LUKENDA
OMAHA, NE
NPI
1114016607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NE 654)
Enumeration Date
2006-10-12
Last Update Date
2011-03-14
Business Address
Dr. LARRA RAE PETERSEN-LUKENDA PhD
4101 WOOLWORTH AVE. VA NEBRASKA-WESTERN IOWA HEALTHCARE SYSTEM
OMAHA, NE 68105
Phone number: 402-995-4486
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Mailing Address
Dr. LARRA RAE PETERSEN-LUKENDA PhD
4101 WOOLWORTH AVE. VA NEBRASKA-WESTERN IOWA HEALTHCARE SYSTEM
OMAHA, NE 68105
Phone number: 402-995-4486
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