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Individual

IVY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
611 EMERSON AVE, ALLIANCE, NE 69301-3257
(307) 399-9907
Mailing address
611 EMERSON AVE, ALLIANCE, NE 69301-3257

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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