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1134205412
TIMOTHY WAYNE LEBSACK
HASTINGS, NE
NPI
1134205412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NE 4461)
Enumeration Date
2006-10-28
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY WAYNE LEBSACK
2628 W 2ND ST
HASTINGS, NE 68901-4606
Phone number: 402-462-5546
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Mailing Address
Dr. TIMOTHY WAYNE LEBSACK
2628 W 2ND ST
HASTINGS, NE 68901-4606
Phone number: 402-462-5546
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