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1114096831
VANCE V SIEDENBURG
SCOTTSBLUFF, NE
NPI
1114096831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 830)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
Mr. VANCE V SIEDENBURG PA
3911 AVENUE B STE G100
SCOTTSBLUFF, NE 69361-4617
Phone number: 308-630-1348
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Mailing Address
Mr. VANCE V SIEDENBURG PA
3911 AVENUE B STE G100
SCOTTSBLUFF, NE 69361-4617
Phone number: 308-630-1348
Copy
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