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1184702409
LENNIE J DEAVER
CAMBRIDGE, NE
NPI
1184702409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE NE16867)
Enumeration Date
2006-11-02
Last Update Date
2010-01-05
Business Address
-- LENNIE J DEAVER MD
309 NELSON ST
CAMBRIDGE, NE 69022-3592
Phone number: 308-697-1419
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Mailing Address
-- LENNIE J DEAVER MD
PO BOX 488
CAMBRIDGE, NE 69022
Phone number: 308-697-1526
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