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1205567203
MARY KATHRYN ELLWANGER
OMAHA, NE
NPI
1205567203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NE 114233)
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
MARY KATHRYN ELLWANGER APRN-NP, CPNP-PC
11949 Q ST
OMAHA, NE 68137-3503
Phone number: 531-867-3088
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Mailing Address
MARY KATHRYN ELLWANGER APRN-NP, CPNP-PC
14461 GRAND AVE
OMAHA, NE 68116-6623
Phone number: 402-881-6441
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