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Rebecca L Wysoske

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NPI Number Detailed Information

Provider Information:

Name: Rebecca L Wysoske
Gender: F
Provider License Number If Given: 21951

NPI Information:

NPI: 1952396434
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 11/5/2009

Provider Business Mailing Address:

Address: 985578 NEBRASKA MEDICAL CENTER
Omaha, NE 68198
Phone Number: 4025526007
Fax Number: 4025526225

Provider Business Practice Location Address:

Address: 985578 NEBRASKA MEDICAL CENTER
Omaha, NE 68198
Phone Number: 4025526007
Fax Number: 4025526225

Provider Taxonomy:

Primary: 2084P0800X
Secondary (if any): 2084P0800X
State: NE

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