Individual
CAROLE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 E NEBRASKA STREET, EWING, NE 68735
(402) 626-7262
Mailing address
PO BOX 367, EWING, NE 68735-0367
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1112
NE
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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