Individual
SARAH LOUISE DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
2313 N WEBB RD, GRAND ISLAND, NE 68803-1743
(308) 381-8851
(308) 381-8853
Mailing address
2313 N WEBB RD, GRAND ISLAND, NE 68803-1743
(308) 381-8851
(308) 381-8853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10264
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026172100
—
NE
05
—
10026304600
—
NE
Enumeration date
07/23/2014
Last updated
07/23/2014
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