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1649334913
CHARLES J SPRAGUE
OMAHA, NE
NPI
1649334913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NE 22145)
Enumeration Date
2006-12-21
Last Update Date
2013-02-13
Business Address
Dr. CHARLES J SPRAGUE M.D.
16929 FRANCES ST STE 101
OMAHA, NE 68130-4683
Phone number: 402-758-5124
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Mailing Address
Dr. CHARLES J SPRAGUE M.D.
555 N 30TH ST
OMAHA, NE 68131-2136
Phone number: 402-280-8100
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