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1003018821
MARIO EDWARD BACCARI
OMAHA, NE
NPI
1003018821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NE 11483)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Dr. MARIO EDWARD BACCARI M.D.
9475 PAULINE ST
OMAHA, NE 68124-3838
Phone number: 402-397-6145
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Mailing Address
Dr. MARIO EDWARD BACCARI M.D.
9475 PAULINE ST
OMAHA, NE 68124-3838
Phone number: 402-397-6145
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