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1447758016
KELLY KATE
OMAHA, NE
NPI
1447758016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NE 219111)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
KELLY KATE
909 S 76TH ST
OMAHA, NE 68114-4519
Phone number: 402-390-2100
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Mailing Address
KELLY KATE
909 S 76TH ST
OMAHA, NE 68114-4519
Phone number: 402-390-2100
Copy
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