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Individual

TY THOMAS DWORAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
218 W 39TH ST, KEARNEY, NE 68845-2802
(308) 236-6499
Mailing address
1517 E 42ND ST, KEARNEY, NE 68847-2685
(314) 973-5626

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1557
NE

Other

Enumeration date
01/28/2009
Last updated
01/28/2009
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