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1053461137
CENTER OF DERMATOLOGY, PC
OMAHA, NE
NPI
1053461137
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Entity Type
Organization
Authorized Contact
HERSCHEL E STOLLER
President
402-398-9200
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NE NE13516)
Enumeration Date
2007-01-11
Last Update Date
2010-02-18
Business Address
CENTER OF DERMATOLOGY, PC
10110 NICHOLAS STREET SUITE #103
OMAHA, NE 68114-2185
Phone number: 402-398-9200
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Mailing Address
CENTER OF DERMATOLOGY, PC
10110 NICHOLAS STREET SUITE #103
OMAHA, NE 68114-2185
Phone number: 402-398-9200
Copy
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