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Individual

REGINA RENE GROVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3900 DAKOTA AVE STE 6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-6033
Mailing address
3900 DAKOTA AVE STE 6, SOUTH SIOUX CITY, NE 68776-3696
(402) 494-6033

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111637
NE

Other

Enumeration date
03/04/2014
Last updated
10/15/2014
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