Provider First Line Business Practice Location Address:
211 10TH STREET
Provider Second Line Business Practice Location Address:
UNIT 1 EDUCATIONL SERVICE
Provider Business Practice Location Address City Name:
WAKEFIELD
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-287-2061
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2016