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1417069287
DANIEL KEITH MICKEY
COLUMBUS, NE
NPI
1417069287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: NE 1069)
Enumeration Date
2006-08-31
Last Update Date
2008-07-28
Business Address
Dr. DANIEL KEITH MICKEY OD
1371 29TH AVE
COLUMBUS, NE 68601
Phone number: 402-564-0545
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Mailing Address
Dr. DANIEL KEITH MICKEY OD
1371 29TH AVE
COLUMBUS, NE 68601-4926
Phone number: 402-564-0545
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