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1528213121
ANDREA LYNNE MALCOM
OMAHA, NE
NPI
1528213121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: NE 2000)
Enumeration Date
2008-11-24
Last Update Date
2022-09-02
Business Address
ANDREA LYNNE MALCOM DH
4920 SOUTH 30TH STREET SUITE 103
OMAHA, NE 68107-1656
Phone number: 402-734-4110
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Mailing Address
ANDREA LYNNE MALCOM DH
4920 S 30TH ST SUITE 103
OMAHA, NE 68107-1590
Phone number: 402-734-4110
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