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Individual

ERIC R SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1600 S 48TH ST, STE 600, LINCOLN, NE 68506-1283
(402) 483-3333
(402) 483-3297
Mailing address
1600 S 48TH ST, STE 600, LINCOLN, NE 68506-1283
(402) 483-3333
(402) 483-3297

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
12345
NE

Other

Enumeration date
04/27/2012
Last updated
01/28/2013
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