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1376019885
CRYSTAL VINAS
OMAHA, NE
NPI
1376019885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NE 113369)
Enumeration Date
2018-10-23
Last Update Date
2024-11-21
Business Address
CRYSTAL VINAS AGPNP
12050 PACIFIC ST
OMAHA, NE 68154-3507
Phone number: 402-614-4969
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Mailing Address
CRYSTAL VINAS AGPNP
12050 PACIFIC ST
OMAHA, NE 68154-3507
Phone number: 402-614-4969
Copy
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