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1659580652
CHARLES A DEARBORN
MACY, NE
NPI
1659580652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IA P46282)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- CHARLES A DEARBORN LPN0
100 INDIAN HILLS DR.
MACY, NE 68039
Phone number: 402-837-5381
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Mailing Address
-- CHARLES A DEARBORN LPN0
2000 OUTER DR. N. 323
SIOUX CITY, IA 51104-3572
Phone number:
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