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Individual

MRS. JENNIFER MARIE DAUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
411 W 39TH ST, KEARNEY, NE 68845-2805
(308) 865-2760
Mailing address
1004 13TH AVE, KEARNEY, NE 68845-6658
(308) 870-1194

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1137
NE

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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