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Individual

DR. JASON JAMES LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
420 N DIERS AVE, GRAND ISLAND, NE 68803-4979
(308) 384-0220
(308) 382-1650
Mailing address
PO BOX 5076, GRAND ISLAND, NE 68802-5076
(308) 384-0220
(308) 382-1650

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1109
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10368
MIDLANDS CHOICE
01
36397
BCBS
Enumeration date
12/20/2005
Last updated
10/24/2007
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