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1588877104
DERMATOLOGY LASER CENTER, LLC
LIBERAL, KS
NPI
1588877104
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Entity Type
Organization
Authorized Contact
MAREK J KAMINSKI
Owner
620-624-9100
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2007-05-08
Last Update Date
2008-02-12
Business Address
DERMATOLOGY LASER CENTER, LLC
15 E 11TH ST
LIBERAL, KS 67901-2720
Phone number: 620-624-9100
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Mailing Address
DERMATOLOGY LASER CENTER, LLC
15 E 11TH ST
LIBERAL, KS 67901-2720
Phone number: 620-624-9100
Copy
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MAREK J KAMINSKI