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1912136813
LIBBY DEINE JOHNSON CROCKETT
GRAND ISLAND, NE
NPI
1912136813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NE 27152)
Enumeration Date
2009-07-13
Last Update Date
2024-02-02
Business Address
LIBBY DEINE JOHNSON CROCKETT M.D.
2444 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4327
Phone number: 308-382-1100
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Mailing Address
LIBBY DEINE JOHNSON CROCKETT M.D.
PO BOX 550
GRAND ISLAND, NE 68802-0550
Phone number: 308-382-1100
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