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1164243754
MISTY ELAINE VANDERHEIDEN
GRAND ISLAND, NE
NPI
1164243754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NE 23245)
Enumeration Date
2024-10-17
Last Update Date
2024-10-17
Business Address
MISTY ELAINE VANDERHEIDEN LPN
2201 N BROADWELL AVE BLDG 1
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
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Mailing Address
MISTY ELAINE VANDERHEIDEN LPN
2201 N BROADWELL AVE BLDG 1
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
Copy
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