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1144429820
COSMETIC DERMATOLOGY BY SEAN DEGNAN
STATELINE, NV
NPI
1144429820
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Entity Type
Organization
Authorized Contact
MARY R ESTRADA
Office Manager
775-588-3300
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NV 5488)
Enumeration Date
2007-07-13
Last Update Date
2012-11-28
Business Address
COSMETIC DERMATOLOGY BY SEAN DEGNAN
165 HWY 50 SUITE 100
STATELINE, NV 89449-5757
Phone number: 775-588-3300
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Mailing Address
COSMETIC DERMATOLOGY BY SEAN DEGNAN
PO BOX 5757
STATELINE, NV 89449-5757
Phone number: 775-588-3300
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