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Individual

PENNY JANE CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
1941 S 42ND ST STE 512, OMAHA, NE 68105-2964
(402) 934-3303
Mailing address
2517 1/2 16TH ST, COLUMBUS, NE 68601-4301
(531) 495-9699

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
372600000X
Adult Companion
3747P1801X
Personal Care Attendant

Other

Enumeration date
04/18/2025
Last updated
09/11/2025
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