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Individual

JOHN LOUIS POTTER JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3927 FLORENCE BLVD, OMAHA, NE 68110-1739
(402) 208-4525
Mailing address
3927 FLORENCE BLVD, OMAHA, NE 68110-1739
(402) 208-4525

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NE

Other

Enumeration date
02/14/2025
Last updated
02/14/2025
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