Cclb Thor LLC
NPI #1548914039 in West Point, Nebraska
Provider Information
- NPI Number
- 1548914039
- Entity Type
- Organization
- Organization Name
- Cclb Thor LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 4, 2022
- Last Updated
- Feb 23, 2022
Practice Location
- Address
- 131 S MAIN ST
- City
- West Point
- State
- Nebraska
- ZIP Code
- 68788-1832
- Phone
- (402) 649-4462
Authorized Official
- Name
- CALVIN THOR
- Title
- OWNER
- Phone
- (402) 649-4462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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