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1215005780
JESSICA JEANNE SOUKUP
LINCOLN, NE
NPI
1215005780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NE 6260)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
JESSICA JEANNE SOUKUP DDS
100 N 12TH ST #502 CENTERSTONE
LINCOLN, NE 68508-1410
Phone number: 402-476-8058
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Mailing Address
JESSICA JEANNE SOUKUP DDS
100 N 12TH ST #502 CENTERSTONE
LINCOLN, NE 68508-1410
Phone number: 402-476-8058
Copy
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