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Individual

SONYA M JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
230 MOREHEAD ST, CHADRON, NE 69337-2325
(308) 432-2070
(308) 432-9655
Mailing address
230 MOREHEAD ST, CHADRON, NE 69337-2325
(402) 490-4765

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13654
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13654
PHARMACIST LICENSE NUMBER-NE DHHS
NE
Enumeration date
07/01/2011
Last updated
07/01/2011
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