COLBEY RUSSELL ROTH

OMAHA, NE
NPI1457157620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IA  P67136)
Enumeration Date2025-02-19
Last Update Date2025-02-19
Business Address
COLBEY RUSSELL ROTH
220 N 89TH ST STE 202
OMAHA, NE 68114-4072
Phone number: 402-502-5750
Mailing Address
COLBEY RUSSELL ROTH
23922 MCPHERSON AVE
COUNCIL BLUFFS, IA 51503-5974
Phone number: 402-350-0123
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