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1982719795
PRAVEEN P. FERNANDES
OMAHA, NE
NPI
1982719795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NE 21637)
Enumeration Date
2006-08-20
Last Update Date
2008-07-28
Business Address
-- PRAVEEN P. FERNANDES M.D.
3528 DODGE ST
OMAHA, NE 68131-3202
Phone number: 402-345-8828
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Mailing Address
-- PRAVEEN P. FERNANDES M.D.
2500 CALIFORNIA PLZ
OMAHA, NE 68178-0001
Phone number:
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