LOREN HENNING JACOBSEN

BROKEN BOW, NE
NPI1609937598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NE  11678)
Enumeration Date2006-12-13
Last Update Date2007-07-13
Business Address
Dr. LOREN HENNING JACOBSEN MD
145 MEMORIAL DR
BROKEN BOW, NE 68822-1378
Phone number: 308-872-2486
Mailing Address
Dr. LOREN HENNING JACOBSEN MD
PO BOX 690
BROKEN BOW, NE 68822-0690
Phone number: 308-872-6283
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