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1356895668
JACOB HUSTAD
OFFUTT AFB, NE
NPI
1356895668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 1001304-15)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
Dr. JACOB HUSTAD DMD
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-5174
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Mailing Address
Dr. JACOB HUSTAD DMD
2501 CAPEHART RD
OFFUTT AFB, NE 68113-1043
Phone number: 402-294-5174
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