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1407636053
ALEJANDRO VICENTE CASANOVA VERGARAY
KEARNEY, NE
NPI
1407636053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NE 115067)
Enumeration Date
2023-10-02
Last Update Date
2023-10-20
Business Address
ALEJANDRO VICENTE CASANOVA VERGARAY
816 22ND AVE
KEARNEY, NE 68845-2234
Phone number: 308-865-2263
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Mailing Address
ALEJANDRO VICENTE CASANOVA VERGARAY
3710 13TH AVE
KEARNEY, NE 68845-8030
Phone number: 308-440-8494
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