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Individual

MARLENE KAY WHITE FORREST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EMERGENCY MEDICAL TE

Contact information

Practice address
110 SOUTH VISITING EAGLE, SANTEE HEALTH CENTER, NIOBRARA, NE 60760
(402) 857-2300
(402) 857-2315
Mailing address
110 SOUTH VISITING EAGLE, SANTEE HEALTH CENTER, NIOBRARA, NE 60760
(402) 857-2300
(402) 857-2315

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
#7795
NE

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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