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1790086999
PARK STREET MEDICAL CLINIC PC
GENOA, NE
NPI
1790086999
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Entity Type
Organization
Authorized Contact
BRIAN K. BUHLKE
Owner
402-993-2206
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-11-04
Last Update Date
2010-11-04
Business Address
PARK STREET MEDICAL CLINIC PC
505 SOUTH PARK STREET
GENOA, NE 68640
Phone number: 402-993-2206
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Mailing Address
PARK STREET MEDICAL CLINIC PC
PO BOX 310 505 SOUTH PARK STREET
GENOA, NE 68640
Phone number: 402-993-2206
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