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1699901025
JACOB XAVIER CHAVEZ
KEARNEY, NE
NPI
1699901025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 8819)
Enumeration Date
2009-05-29
Last Update Date
2009-05-29
Business Address
-- JACOB XAVIER CHAVEZ PLMHP
2041 E 56TH ST
KEARNEY, NE 68847-4179
Phone number: 308-236-7145
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Mailing Address
-- JACOB XAVIER CHAVEZ PLMHP
1553 O RD
MINDEN, NE 68959-6723
Phone number: 308-293-7720
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