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Individual

MS. LEAH GENENE SUNDERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
PO BOX 779, WISNER, NE 68791-0779
(402) 529-2233
Mailing address
PO BOX 131, HOSKINS, NE 68740-0131
(402) 318-9818

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
135
NE

Other

Enumeration date
12/06/2017
Last updated
12/06/2017
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