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Individual

JORDAN BONTRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LMNT

Contact information

Practice address
6829 N 72ND ST STE 4500, OMAHA, NE 68122-1724
(402) 717-1299
(402) 717-0770
Mailing address
8207 NORTHWOODS DR STE 100, LINCOLN, NE 68505-2093

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
110956
IA
133N00000X
Nutritionist
Primary
1470
NE
133V00000X
Registered Dietitian
NE

Other

Enumeration date
02/03/2020
Last updated
09/28/2023
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