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1912907981
SUSAN K RETZLAFF DEITRICK
GRAND ISLAND, NE
NPI
1912907981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 829)
Enumeration Date
2005-07-29
Last Update Date
2020-02-14
Business Address
SUSAN K RETZLAFF DEITRICK PA-C
418 N WEBB RD
GRAND ISLAND, NE 68803-4045
Phone number: 308-382-1100
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Mailing Address
SUSAN K RETZLAFF DEITRICK PA-C
PO BOX 5436
GRAND ISLAND, NE 68802-5436
Phone number: 308-384-9300
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