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1174694780
DONALD L THEOPHILUS
NORFOLK, NE
NPI
1174694780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 3996)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- DONALD L THEOPHILUS DDS
1105 S 13TH ST
NORFOLK, NE 68701-5767
Phone number: 402-371-1360
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Mailing Address
-- DONALD L THEOPHILUS DDS
PO BOX 1203
NORFOLK, NE 68702-1203
Phone number: 402-371-1360
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