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Individual

TODD O EITEMILLER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
914 W 10TH ST, ALLIANCE, NE 69301-2858
(308) 762-2225
(308) 762-3090
Mailing address
PO BOX 62, ALLIANCE, NE 69301-0062
(308) 762-2225
(308) 762-3090

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1352
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100252527-00
NE
Enumeration date
07/14/2005
Last updated
07/08/2007
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