Provider First Line Business Practice Location Address:
124 ELM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UEHLING
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68063-5010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-630-8145
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2026