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Individual

DR. COREY LYNN DOUSHARM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
4645 NORMAL BLVD, STE 200, LINCOLN, NE 68506-5823
(402) 483-6633
Mailing address
4645 NORMAL BLVD., SUITE 200, LINCOLN, NE 68506
(402) 483-6633
(402) 483-6919

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1555
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025715800
NE
Enumeration date
01/21/2009
Last updated
02/11/2019
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