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Individual

AMANDA EHRENBERG-KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
2415 E 23RD AVE S, SUITE 100, FREMONT, NE 68025-2407
(402) 727-7866
Mailing address
2415 E 23RD AVE S, SUITE 100, FREMONT, NE 68025-2407
(402) 727-7866

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
075886
IA
237700000X
Hearing Instrument Specialist
Primary
775
NE

Other

Enumeration date
05/12/2015
Last updated
05/12/2015
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