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1518505205
CALLISTA LEE KOMASINCKI
OMAHA, NE
NPI
1518505205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NE 112970)
Enumeration Date
2019-12-13
Last Update Date
2019-12-13
Business Address
CALLISTA LEE KOMASINCKI
4239 FARNAM ST STE 100
OMAHA, NE 68131-2858
Phone number: 402-552-2320
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Mailing Address
CALLISTA LEE KOMASINCKI
4239 FARNAM ST STE 100
OMAHA, NE 68131-2858
Phone number: 402-552-2320
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