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1669887584
KELLY GONZALES
OMAHA, NE
NPI
1669887584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NE 111658)
Enumeration Date
2014-06-30
Last Update Date
2014-06-30
Business Address
-- KELLY GONZALES FNP
985330 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5330
Phone number: 402-559-4111
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Mailing Address
-- KELLY GONZALES FNP
4302 N 161ST ST
OMAHA, NE 68116-2988
Phone number: 402-968-1258
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