Individual
ERICA GOMPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BOX BUTTE AVE, ALLIANCE, NE 69301-3742
(308) 762-2545
(308) 762-2564
Mailing address
212 BOX BUTTE AVE, ALLIANCE, NE 69301-3742
(308) 762-2545
(308) 762-2564
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/28/2008
Last updated
04/01/2008
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