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1144262205
KEVIN ROBERT FRUIN
GRAND ISLAND, NE
NPI
1144262205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 6194)
Enumeration Date
2006-06-12
Last Update Date
2007-07-13
Business Address
Dr. KEVIN ROBERT FRUIN DDS
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
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Mailing Address
Dr. KEVIN ROBERT FRUIN DDS
2201 N BROADWELL AVE
GRAND ISLAND, NE 68803-2153
Phone number: 308-382-3660
Copy
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