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1255364568
HENRY JOHN DETHLEFS
OMAHA, NE
NPI
1255364568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 19813)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
-- HENRY JOHN DETHLEFS MD
4920 S 30TH ST SUITE 103
OMAHA, NE 68107-1590
Phone number: 402-734-4110
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Mailing Address
-- HENRY JOHN DETHLEFS MD
4920 S 30TH ST SUITE 103
OMAHA, NE 68107-1590
Phone number: 402-734-4110
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