LAURA JEAN FORNWALT

LINCOLN, NE
NPI1952037442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2022-07-27
Last Update Date2022-07-27
Business Address
LAURA JEAN FORNWALT
1835 PAWNEE ST
LINCOLN, NE 68502-4646
Phone number: 314-288-5565
Mailing Address
LAURA JEAN FORNWALT
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-436-1905
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