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1043238827
JODY BORG
HOLDREGE, NE
NPI
1043238827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NE 100752)
Enumeration Date
2006-07-18
Last Update Date
2008-06-30
Business Address
-- JODY BORG CRNA
1215 TIBBALS ST
HOLDREGE, NE 68949-1255
Phone number: 308-995-2211
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Mailing Address
-- JODY BORG CRNA
PO BOX 633
LEXINGTON, NE 68850-0633
Phone number: 402-395-1666
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