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1518990928
DIANE M DREVS
SOUTH SIOUX CITY, NE
NPI
1518990928
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Former Name
DIANE M ERICKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NE 696)
Enumeration Date
2006-07-09
Last Update Date
2011-03-08
Business Address
-- DIANE M DREVS PA-C
3250 PLAZA DR
SOUTH SIOUX CITY, NE 68776-3144
Phone number: 402-412-4220
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Mailing Address
-- DIANE M DREVS PA-C
814 PIERCE ST SUITE 102
SIOUX CITY, IA 51101-1058
Phone number: 712-226-2600
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