Provider First Line Business Practice Location Address:
20650 GLENN STREET
Provider Second Line Business Practice Location Address:
ELKHORN PUBLIC SCHOOLS
Provider Business Practice Location Address City Name:
ELKHORN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-289-2579
Provider Business Practice Location Address Fax Number:
402-289-1746
Provider Enumeration Date:
04/24/2017