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Individual

STACY LYNN HOLLENDIECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1116 10TH AVE STE A, SIDNEY, NE 69162-2001
(308) 524-5573
(308) 524-5587
Mailing address
1720 1ST ST, COLUMBUS, NE 68601-7608
(308) 524-5573
(308) 524-5587

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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