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Individual

DR. JACOB LEE CHILDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
402 N JEFFERS ST, NORTH PLATTE, NE 69101-3931
(308) 532-7010
(308) 534-8388
Mailing address
402 N JEFFERS ST, NORTH PLATTE, NE 69101-3931
(308) 532-7010
(308) 534-8388

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15447
NE

Other

Enumeration date
04/04/2019
Last updated
04/04/2019
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