Individual
JACLYN P JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 SOUTH ST, LINCOLN, NE 68502-2734
(402) 435-3271
Mailing address
5800 LORRAINE AVE, SIOUX CITY, IA 51106-3909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13974
NE
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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