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1114978368
AMBER J WIDSTROM
OMAHA, NE
NPI
1114978368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 1098)
Enumeration Date
2006-05-12
Last Update Date
2008-11-06
Business Address
-- AMBER J WIDSTROM PA
988095 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8095
Phone number: 402-559-9800
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Mailing Address
-- AMBER J WIDSTROM PA
11033 CROWN POINT AVE
OMAHA, NE 68164-1507
Phone number: 402-496-6559
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