KEVIN GARY LOONTJER

FREMONT, NE
NPI1710125919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NE  1419)
Enumeration Date2009-01-26
Last Update Date2009-04-08
Business Address
-- KEVIN GARY LOONTJER MPAS PA-C
2740 N CLARKSON ST
FREMONT, NE 68025-7716
Phone number: 402-721-0090
Mailing Address
-- KEVIN GARY LOONTJER MPAS PA-C
2740 N CLARKSON ST
FREMONT, NE 68025-7716
Phone number: 402-721-0090
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