Gary Jurgenson

NPI 1073691895 - Pharmacist - 183500000X

NPI Details
NPI 1073691895
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
322 E 22ND ST
FREMONT NE, 68025-2608, US
Phone (402) 721-5433
Fax
Business Location
1859 PHELPS AVE
FREMONT NE, 68025-4424, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Nebraska
License Number 7620
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According to our database, Gary Jurgenson NPI is 1073691895, taxonomy code is 183500000X and license number is 7620, license state is located at Nebraska. Gary Jurgenson physically located at 322 E 22nd St, Fremont NE, 68025-2608. NPI Number Gary Jurgenson has the Individual type.

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1073691895 NPI number is provided on an as is basis without warranty of any kind. 1073691895 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Jurgenson are for informational purposes only.