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See Win
NPI 1003615923 · on the registry since 2025 · sole proprietor
Practice
- Address
- 13306 Edna St
Omaha, NE 68138 - Phone
- (402) 800-5021
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Chore Provider
372500000X
- Sex
- Male
- Record last updated
- 2025-03-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska