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Individual

SHELBY E BRUENING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
7121 STEPHANIE LN STE 102, LINCOLN, NE 68516-5352
(402) 413-5010
(402) 413-5009
Mailing address
7121 STEPHANIE LN STE 102, LINCOLN, NE 68516-5352
(970) 663-2742
(970) 667-0847

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2576
NE

Other

Enumeration date
01/22/2021
Last updated
11/15/2021
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