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1073962700
JESSALYN BROCKMAN
COUNCIL BLUFFS, IA
NPI
1073962700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A120454)
Enumeration Date
2016-06-03
Last Update Date
2023-12-13
Business Address
JESSALYN BROCKMAN
1 EDMUNDSON PL STE 200
COUNCIL BLUFFS, IA 51503-4658
Phone number: 402-390-4111
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Mailing Address
JESSALYN BROCKMAN
8005 FARNAM DR STE 305
OMAHA, NE 68114-3426
Phone number: 402-390-4111
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