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1154405090
SCOTT J FASSE
OMAHA, NE
NPI
1154405090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 16872)
Enumeration Date
2006-10-25
Last Update Date
2007-07-08
Business Address
SCOTT J FASSE M.D.
614 N 108TH CT
OMAHA, NE 68154-1762
Phone number: 402-884-7218
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Mailing Address
SCOTT J FASSE M.D.
614 N 108TH CT
OMAHA, NE 68154-1762
Phone number: 402-884-7218
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