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1376264929
CLAIRE CHRISTINE FANTA
LINCOLN, NE
NPI
1376264929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-12
Last Update Date
2023-10-02
Business Address
CLAIRE CHRISTINE FANTA
555 S 70TH ST
LINCOLN, NE 68510-2462
Phone number: 402-219-7142
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Mailing Address
CLAIRE CHRISTINE FANTA
7150 HOLMES PARK RD APT 307
LINCOLN, NE 68506-4685
Phone number: 402-358-0734
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