Provider First Line Business Practice Location Address:
416 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCRIBNER
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68057-3196
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-664-3133
Provider Business Practice Location Address Fax Number:
402-664-3074
Provider Enumeration Date:
08/18/2006