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Individual

MRS. CHRISTINE ELLEN DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LMNT, LD

Contact information

Practice address
505 S. BURG STREET, KIMBALL HEALTH SERVICES AT, KIMBALL, NE 69145
(308) 235-1966
(308) 235-1957
Mailing address
505 S. BURG STREET, KIMBALL HEALTH SERVICES AT, KIMBALL, NE 69145
(308) 235-1966
(308) 235-1957

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
022
WY
133V00000X
Registered Dietitian
Primary
458
NE

Other

Enumeration date
01/03/2014
Last updated
01/03/2014
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