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1518621465
STACEY BROOK WATNE
OMAHA, NE
NPI
1518621465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NE 113565)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
Mrs. STACEY BROOK WATNE NP
8901 WEST DODGE RD
OMAHA, NE 68114-3321
Phone number: 402-354-8990
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Mailing Address
Mrs. STACEY BROOK WATNE NP
PO BOX 3755
OMAHA, NE 68103-0755
Phone number: 402-354-5677
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