Individual
CHANTELL MARIE GROTELUSCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17022 280TH AVE, COLUMBUS, NE 68601-6387
(402) 910-1491
Mailing address
PO BOX 56, DUNCAN, NE 68634-0056
(402) 679-5464
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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