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1013981000
MARK P CHRISTIANSEN
BLAIR, NE
NPI
1013981000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NE 564)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
-- MARK P CHRISTIANSEN PAC
812 N 22ND ST
BLAIR, NE 68008
Phone number: 402-426-4611
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Mailing Address
-- MARK P CHRISTIANSEN PAC
22525 CAPEHART RD
GRETNA, NE 68028
Phone number: 402-332-5428
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