Individual
DENA KAE DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25211 S 68TH ST, FIRTH, NE 68358-7598
(402) 791-0020
Mailing address
25211 S 68TH ST, FIRTH, NE 68358-7598
(402) 791-0020
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
42541
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42541
—
NE
Enumeration date
10/29/2019
Last updated
10/29/2019
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