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1134779564
ADAM DAVID DIEDIKER
NORTH PLATTE, NE
NPI
1134779564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NE 112955)
Enumeration Date
2019-09-17
Last Update Date
2019-09-17
Business Address
ADAM DAVID DIEDIKER APRN
215 MCNEEL LN
NORTH PLATTE, NE 69101-6054
Phone number: 308-568-3800
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Mailing Address
ADAM DAVID DIEDIKER APRN
215 MCNEEL LN
NORTH PLATTE, NE 69101-6054
Phone number:
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