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1306142658
KURT KENNETH KOCH
GRAND ISLAND, NE
NPI
1306142658
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NE 157)
Enumeration Date
2011-02-03
Last Update Date
2011-02-03
Business Address
MR. KURT KENNETH KOCH PA-C
3016 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-381-8546
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Mailing Address
MR. KURT KENNETH KOCH PA-C
3016 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-381-8546
Copy
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