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Organization

ELITE URGENT CARE AND FAMILY HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICIA GONZALES-LONGORIA NP (OWNER)
(308) 633-6202
Entity
Organization

Contact information

Practice address
820 W 42ND ST STE 2300, SCOTTSBLUFF, NE 69361-5016
(308) 672-0991
(904) 479-9575
Mailing address
820 W 42ND ST STE 2300, SCOTTSBLUFF, NE 69361-5016
(308) 633-6202
(308) 633-6203

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111555
NE

Other

Enumeration date
08/28/2018
Last updated
11/08/2018
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