Individual
CHRIS PAVLIK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56591 892 RD # NE, FORDYCE, NE 68736-5011
(402) 640-3901
Mailing address
56591 892 RD # NE, FORDYCE, NE 68736-5011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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