Individual
SUEANN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 AVENUE I, GOTHENBURG, NE 69138-1815
(308) 537-3651
Mailing address
1322 AVENUE I, GOTHENBURG, NE 69138-1815
(308) 537-3651
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
76213
NE
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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