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1073247748
JACOB L CREEVAN
LINCOLN, NE
NPI
1073247748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2777)
Enumeration Date
2022-07-10
Last Update Date
2022-08-01
Business Address
JACOB L CREEVAN PA-C
5500 PINE LAKE RD
LINCOLN, NE 68516-3389
Phone number: 402-489-8888
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Mailing Address
JACOB L CREEVAN PA-C
5500 PINE LAKE RD
LINCOLN, NE 68516-3389
Phone number: 402-489-8888
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