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Individual

JILL FUNK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1204 W K ST, OGALLALA, NE 69153-1050
(402) 853-4995
Mailing address
1204 W K ST, OGALLALA, NE 69153-1050
(308) 660-0645

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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