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1639127517
LARRY G KISBY
FREMONT, NE
NPI
1639127517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 358)
Enumeration Date
2006-05-04
Last Update Date
2007-07-10
Business Address
-- LARRY G KISBY PA-C
710 REYNOLDS ROAD
FREMONT, NE 68025-2300
Phone number: 402-727-1091
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Mailing Address
-- LARRY G KISBY PA-C
710 REYNOLDS ROAD
FREMONT, NE 68025-2300
Phone number: 402-727-1091
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