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1235695198
BRIANNA R THACKER
ELKHORN, NE
NPI
1235695198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2332)
Enumeration Date
2019-02-15
Last Update Date
2019-03-26
Business Address
BRIANNA R THACKER PA-C
717 N 190TH PLZ STE 3200
ELKHORN, NE 68022-3913
Phone number: 402-815-1980
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Mailing Address
BRIANNA R THACKER PA-C
PO BOX 3755
OMAHA, NE 68103-0755
Phone number: 402-354-2100
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