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Individual

DIANE JERGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
550 7TH STREET, SYRACUSE, NE 68446
(402) 269-2382
Mailing address
550 7TH STREET, SYRACUSE, NE 68446

Taxonomy

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

Other

Enumeration date
09/21/2015
Last updated
09/21/2015
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