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1194733709
TANJA L NOECKER
LINCOLN, NE
NPI
1194733709
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Former Name
TANJA L FAUST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NE 1209)
Enumeration Date
2006-08-03
Last Update Date
2008-02-27
Business Address
-- TANJA L NOECKER PA-C
4501 S 70TH ST STE 130
LINCOLN, NE 68516-4282
Phone number: 402-484-4940
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Mailing Address
-- TANJA L NOECKER PA-C
8055 O ST STE 300
LINCOLN, NE 68510-2580
Phone number: 402-421-0896
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