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1407383920
TAMARA RYAN DIETZE
OMAHA, NE
NPI
1407383920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2129)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-05-15
Last Update Date
2017-07-14
Business Address
Mrs. TAMARA RYAN DIETZE PA
EMILE AT 42ND ST
OMAHA, NE 68198-3771
Phone number: 402-552-6732
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Mailing Address
Mrs. TAMARA RYAN DIETZE PA
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number:
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