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1659560274
VIRACH ANANTACHAI
LOUP CITY, NE
NPI
1659560274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 13217)
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
-- VIRACH ANANTACHAI M.D.
130 N. 6TH STREET
LOUP CITY, NE 68853-0527
Phone number: 308-745-0514
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Mailing Address
-- VIRACH ANANTACHAI M.D.
PO BOX 527 130 N. 6TH STREET
LOUP CITY, NE 68853-0527
Phone number: 308-745-0514
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