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1811073869
TEDETTE L ELLIS
OMAHA, NE
NPI
1811073869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NE 110440)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
MRS. TEDETTE L ELLIS A.P.R.N.
7205 WEST CENTER ROAD SUITE 200
OMAHA, NE 68124-2388
Phone number: 402-397-6600
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Mailing Address
MRS. TEDETTE L ELLIS A.P.R.N.
7205 WEST CENTER ROAD SUITE 200
OMAHA, NE 68124-2388
Phone number: 402-397-6600
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