Provider Information for 1710180369
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CARRIE JO DURANT LIMHP
Other Names:Former Name:CARRIE JO HILLEBRANDT M.S., LIMHPSex: Female
NPI: 1710180369
Last Updated: 2012-04-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1710180369 | ||||||||||||
| Enumeration Date | 2007-06-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 9402 GRAND AVE OMAHA, NE 68134-2651 United States Phone: 402-871-9979 | Fax: | ||||||||||||
| Primary Practice Address | 1941 S 42ND ST STE 129 OMAHA, NE 68105-2938 United States Phone: 402-871-9979 | Fax:402-614-9947 | ||||||||||||
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