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1669055281
JACOB VASA
OMAHA, NE
NPI
1669055281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 36306)
Enumeration Date
2021-05-02
Last Update Date
2024-09-04
Business Address
JACOB VASA MD
4920 S 30TH ST
OMAHA, NE 68107-1590
Phone number: 402-734-4110
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Mailing Address
JACOB VASA MD
4920 S 30TH ST STE 103
OMAHA, NE 68107-1656
Phone number: 402-734-4110
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