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1992203046
SHELBY K HACKETT
OMAHA, NE
NPI
1992203046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2197)
Enumeration Date
2018-01-24
Last Update Date
2018-01-24
Business Address
SHELBY K HACKETT
EMILE @ 42ND ST
OMAHA, NE 68198-0001
Phone number: 402-559-0692
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Mailing Address
SHELBY K HACKETT
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number:
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