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1619067733
ERIC DESHAZER
LINCOLN, NE
NPI
1619067733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NE 6453)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
-- ERIC DESHAZER DDS
5500 S 56TH ST
LINCOLN, NE 68516-1878
Phone number: 402-423-5055
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Mailing Address
-- ERIC DESHAZER DDS
5500 S 56TH ST
LINCOLN, NE 68516-1878
Phone number: 402-423-5055
Copy
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