Individual
MR. JASON GOODIJOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
982 N 10TH RD, PALMYRA, NE 68418-4012
(402) 740-1270
Mailing address
982 N 10TH RD, PALMYRA, NE 68418-4012
(402) 740-1270
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
NE
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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