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1033210257
RICHARD CHARLES TREADWAY
GRAND ISLAND, NE
NPI
1033210257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NE 131)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
Mr. RICHARD CHARLES TREADWAY PA-C
2201 N BROADWELL AVE NWIVAHCS
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
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Mailing Address
Mr. RICHARD CHARLES TREADWAY PA-C
531 MICKEY ST PO BOX 135
OSCEOLA, NE 68651-5519
Phone number: 402-747-8091
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