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Individual

JACQUELINE LOUISE KASSEBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1300 N WEBSTER AVE, HASTINGS, NE 68901-2956
(402) 984-4339
Mailing address
1103 W 12TH ST, HASTINGS, NE 68901-3809
(402) 469-7076

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/03/2025
Last updated
08/18/2025
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