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1720319049
KALENE LEE PINK FERGUSON
OMAHA, NE
NPI
1720319049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 1485)
Enumeration Date
2010-01-26
Last Update Date
2024-09-06
Business Address
KALENE LEE PINK FERGUSON PA-C
17645 WRIGHT ST
OMAHA, NE 68130-2034
Phone number: 402-202-1724
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Mailing Address
KALENE LEE PINK FERGUSON PA-C
21848 HILLANDALE RD
ELKHORN, NE 68022-1703
Phone number: 402-202-1724
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