Individual
ALONZO BORIS DENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 S VISITING EAGLE ST, NIOBRARA, NE 68760-7201
(402) 857-2300
(402) 857-2509
Mailing address
110 S VISITING EAGLE ST, NIOBRARA, NE 68760-7201
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1255008744
NE
Other
Enumeration date
08/24/2021
Last updated
11/17/2021
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