Individual
CARRIE A JURACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1103 GALVIN RD S, BELLEVUE, NE 68005-3002
(402) 292-1072
(402) 292-0742
Mailing address
1103 GALVIN RD S STE G, BELLEVUE, NE 68005-3000
(402) 292-1072
(402) 292-0742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1023
NE
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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