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1164740478
SUSAN LEE WOLLENBURG
OMAHA, NE
NPI
1164740478
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Former Name
SUSAN LEE BUCHANAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 1513)
Enumeration Date
2010-05-11
Last Update Date
2015-01-21
Business Address
Mrs. SUSAN LEE WOLLENBURG PA-C
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: 402-559-7200
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Mailing Address
Mrs. SUSAN LEE WOLLENBURG PA-C
7123 S. HARRISON DR. APT 108
LAVISTA, NE 68128
Phone number: 402-239-0028
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