Individual
MARY ELIZABETH PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 E 17TH ST APT 1J, SCOTTSBLUFF, NE 69361-3356
(308) 635-2020
Mailing address
140188 RIFLE SITE PASS RD, GERING, NE 69341-7016
(308) 631-7889
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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