Individual
SANDRA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 36TH RD, SILVER CREEK, NE 68663-3704
(308) 773-2519
Mailing address
9679 13TH AVE, COLUMBUS, NE 68601-8213
(402) 366-3067
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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