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1780682153
KEITH C LEATHERBURY
FREMONT, NE
NPI
1780682153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NE 18655)
Additional Taxonomies
174400000X Specialist
(Licence: NE 18655)
Enumeration Date
2005-07-11
Last Update Date
2021-09-03
Business Address
Dr. KEITH C LEATHERBURY MD
2830 N CLARKSON ST
FREMONT, NE 68025-7718
Phone number: 402-721-6333
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Mailing Address
Dr. KEITH C LEATHERBURY MD
2830 N CLARKSON ST
FREMONT, NE 68025-7718
Phone number: 402-721-6333
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