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1548219462
SAMUEL JAMES DETERMAN
OMAHA, NE
NPI
1548219462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: NE 296)
Enumeration Date
2006-05-08
Last Update Date
2007-07-08
Business Address
Dr. SAMUEL JAMES DETERMAN D.P.M.
17816 HOLMES CIR
OMAHA, NE 68135-3406
Phone number: 402-895-2583
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Mailing Address
Dr. SAMUEL JAMES DETERMAN D.P.M.
17816 HOLMES CIR
OMAHA, NE 68135-3406
Phone number: 402-895-2583
Copy
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