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1194447367
PETRISOR TUDOR
OMAHA, NE
NPI
1194447367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NE 114357)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
PETRISOR TUDOR PMHNP-BC, APRN, MSN
11404 W DODGE RD STE 300
OMAHA, NE 68154-2511
Phone number: 402-898-1113
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Mailing Address
PETRISOR TUDOR PMHNP-BC, APRN, MSN
11404 W DODGE RD STE 300
OMAHA, NE 68154-2511
Phone number: 402-898-1113
Copy
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