Individual
MR. JOSHUA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 N TURNER AVE, HASTINGS, NE 68901-7621
(402) 705-3708
Mailing address
710 N TURNER AVE, HASTINGS, NE 68901-7621
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
643
NE
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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