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1154895209
SKIN ENVY DERMATOLOGY
FREMONT, NE
NPI
1154895209
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Entity Type
Organization
Authorized Contact
DEBRA LYNN BAKER
Owner/Np
402-936-6198
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-01-11
Last Update Date
2021-01-13
Business Address
SKIN ENVY DERMATOLOGY
3140 ELK LN STE 600
FREMONT, NE 68025-8650
Phone number: 402-936-6198
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Mailing Address
SKIN ENVY DERMATOLOGY
3140 ELK LN STE 600
FREMONT, NE 68025-8650
Phone number: 402-936-6198
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