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Individual

DR. AMANDA JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
2917 PINE LAKE RD STE F, LINCOLN, NE 68516-6032
(402) 972-8382
Mailing address
2917 PINE LAKE RD STE F, LINCOLN, NE 68516-6032
(402) 972-8382

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2104
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026904100
NE
Enumeration date
09/20/2021
Last updated
07/27/2022
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