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1801518030
CONTOURBODY STRUCTURE LLC
ELKHORN, NE
NPI
1801518030
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Entity Type
Organization
Authorized Contact
BRET VAN KETTELHUT
Medical Director
402-253-9938
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center Medical Specialty
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
CONTOURBODY STRUCTURE LLC
1515 S 204TH ST, SUITE #105
ELKHORN, NE 68022
Phone number: 531-777-2752
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Mailing Address
CONTOURBODY STRUCTURE LLC
2011 S 189TH CIRCLE
OMAHA, NE 68130
Phone number:
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