CHARLES A DEARBORN

MACY, NE
NPI1659580652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IA  P46282)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- CHARLES A DEARBORN LPN0
100 INDIAN HILLS DR.
MACY, NE 68039
Phone number: 402-837-5381
Mailing Address
-- CHARLES A DEARBORN LPN0
2000 OUTER DR. N. 323
SIOUX CITY, IA 51104-3572
Phone number: