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1336473107
ERIC ROSS GENGENBACH
GRANT, NE
NPI
1336473107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NE 1335)
Enumeration Date
2009-09-28
Last Update Date
2012-12-31
Business Address
Dr. ERIC ROSS GENGENBACH O.D.
115 W 3RD ST
GRANT, NE 69140-3107
Phone number: 308-352-4424
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Mailing Address
Dr. ERIC ROSS GENGENBACH O.D.
115 W 3RD ST
GRANT, NE 69140-3107
Phone number: 308-352-4424
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