Individual
MR. CHARLES GREGORY LIMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
3207 12TH AVE, KEARNEY, NE 68845-3339
(308) 236-5703
Mailing address
3207 12TH AVE, KEARNEY, NE 68845-3339
(308) 236-5703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
20
NE
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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