Individual
TURQUOISE HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
187 OMAHA WAY, MACY, NE 68039-4000
(712) 570-7122
Mailing address
PO BOX 520, SOUTH SIOUX CITY, NE 68776-0520
(402) 449-4917
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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