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Organization

KOCA CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYLE E KOCA D.C. (OWNER)
(402) 496-4570
Entity
Organization

Contact information

Practice address
2085 N 120TH ST, SUITE D6, OMAHA, NE 68164-3479
(402) 496-4570
(402) 496-8972
Mailing address
2085 N 120TH ST, SUITE D6, OMAHA, NE 68164-3479
(402) 496-4570
(402) 496-8972

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
09/16/2008
Last updated
09/16/2008
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