Individual
CHASE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 S MINDEN AVE, MINDEN, NE 68959-2042
(402) 960-7659
Mailing address
244 S MINDEN AVE, MINDEN, NE 68959-2042
(402) 960-7659
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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