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Individual

JESSICA RADENSLABEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
830 E 1ST ST, CRETE, NE 68333-3108
(402) 826-4325
Mailing address
7221 PIONEERS BLVD APT 830, LINCOLN, NE 68506-7538
(402) 443-6050

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
859
NE

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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