Individual
ANGELA SUE FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N 11TH AVE, BROKEN BOW, NE 68822-1231
(308) 440-5103
Mailing address
720 N 11TH AVE, BROKEN BOW, NE 68822-1231
(308) 440-5103
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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