JOSE RENANTE AMADO COMBALECER

BENNINGTON, NE
NPI1801024534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NE  1367)
Enumeration Date2009-07-01
Last Update Date2009-07-01
Business Address
Mr. JOSE RENANTE AMADO COMBALECER RPT
15362 MORMON ST
BENNINGTON, NE 68007-1473
Phone number: 402-445-4024
Mailing Address
Mr. JOSE RENANTE AMADO COMBALECER RPT
15362 MORMON ST
BENNINGTON, NE 68007-1473
Phone number: 402-445-4024
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