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1003082090
OMNI DERMATOLOGY INCORPORATED
GLENDALE, AZ
NPI
1003082090
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Entity Type
Organization
Authorized Contact
ANDREW J RACETTE
President
602-369-3634
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AZ 4311)
Enumeration Date
2008-04-30
Last Update Date
2024-04-03
Business Address
OMNI DERMATOLOGY INCORPORATED
11851 N 51ST AVE STE E130
GLENDALE, AZ 85304-2843
Phone number: 480-954-3919
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Mailing Address
OMNI DERMATOLOGY INCORPORATED
11851 N 51ST AVE STE E130
GLENDALE, AZ 85304-2843
Phone number: 236-299-9540
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