CALEB KELLY POORE

OMAHA, NE
NPI1750700910
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  1089)
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
-- CALEB KELLY POORE PTA
14461 AMES PLZ APT 103
OMAHA, NE 68116-6070
Phone number: 308-746-1137
Mailing Address
-- CALEB KELLY POORE PTA
14461 AMES PLZ APT 103
OMAHA, NE 68116-6070
Phone number: 308-746-1137
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