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Individual

JEFF D DENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
325 S 1ST AVE, BROKEN BOW, NE 68822-2213
(308) 872-5111
(308) 872-5115
Mailing address
P.O. BOX 435, BROKEN BOW, NE 68822-2213
(308) 872-5111
(308) 872-5115

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1992
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39728
BLUE CROSS BLUE SHIELD
NE
Enumeration date
10/03/2006
Last updated
04/27/2017
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