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Individual

VICKI LEAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
719 E ST, INDIANOLA, NE 69034-3461
(308) 364-2613
Mailing address
912 E 1ST ST, MC COOK, NE 69001-3209

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
11/02/2016
Last updated
11/02/2016
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