Provider Information for 1497821219
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Ms. REGINA KAY JUHL LMHP, LADC
Sex: Female
NPI: 1497821219
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1497821219 | ||||||||
| Enumeration Date | 2006-11-24 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 715 WEST ANNA GRAND ISLAND, NE 68801 United States Phone: 308-398-0350 | Fax:308-398-0352 | ||||||||
| Primary Practice Address | 715 W ANNA ST GRAND ISLAND, NE 68801-6713 United States Phone: 308-398-0350 | Fax:308-398-0352 | ||||||||
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