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1942906383
TANNER JAMES SHEA
ELKHORN, NE
NPI
1942906383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2803)
Enumeration Date
2023-02-07
Last Update Date
2023-12-13
Business Address
TANNER JAMES SHEA PA-C
222 N 192ND ST
ELKHORN, NE 68022-5363
Phone number: 402-390-4111
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Mailing Address
TANNER JAMES SHEA PA-C
8005 FARNAM DR STE 305
OMAHA, NE 68114-3426
Phone number: 402-390-4111
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