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1013934074
WAYNE V VIDETICH
LINCOLN, NE
NPI
1013934074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: NE NE134)
Enumeration Date
2006-07-16
Last Update Date
2007-11-16
Business Address
Dr. WAYNE V VIDETICH DPM
2710 SOUTH ST
LINCOLN, NE 68502-3252
Phone number: 402-477-3200
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Mailing Address
Dr. WAYNE V VIDETICH DPM
2710 SOUTH ST
LINCOLN, NE 68502-3252
Phone number: 402-477-3200
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