WILLARD WADE WISE

OMAHA, NE
NPI1871947127
Other NameTREY W WISE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NE  101342)
Enumeration Date2016-04-22
Last Update Date2016-05-23
Business Address
-- WILLARD WADE WISE CRNA
7822 DAVENPORT ST
OMAHA, NE 68114-3629
Phone number: 402-391-4855
Mailing Address
-- WILLARD WADE WISE CRNA
7822 DAVENPORT ST
OMAHA, NE 68114-3629
Phone number: 402-391-4855
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