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Individual

DOROTHY SUE JENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1423 STONE ST, FALLS CITY, NE 68355-2660
(402) 245-3232
(402) 245-4022
Mailing address
1423 STONE ST, FALLS CITY, NE 68355-2660
(402) 245-3232
(402) 245-4022

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
298
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010065263
PALMETTO GBA RR MEDICARE
01
07046
BLUE CROSS BLUE SHIELD NE
Enumeration date
07/06/2006
Last updated
02/25/2010
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