Provider First Line Business Practice Location Address:
220 W LEOTA ST
Provider Second Line Business Practice Location Address:
TWIN RIVERS URGENT CARE LLC
Provider Business Practice Location Address City Name:
NORTH PLATTE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
69101-6293
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
308-534-2900
Provider Business Practice Location Address Fax Number:
308-534-2903
Provider Enumeration Date:
11/07/2006