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Individual

DR. DANIEL JAMES EDWARD KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
441 BROADWAY, IMPERIAL, NE 69033-3162
(308) 882-5532
Mailing address
PO BOX 696, IMPERIAL, NE 69033-0696
(308) 882-5532

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1800
NE

Other

Enumeration date
05/30/2014
Last updated
05/30/2014
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