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Carson Davis
NPI 1477214229 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1307 Lake Ave
Gothenburg, NE 69138 - Phone
- (308) 325-5518
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Transportation Broker
347E00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska