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1801900295
STEPHEN J MANCUSO
COLUMBUS, NE
NPI
1801900295
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 5734)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- STEPHEN J MANCUSO DDS
2921 13TH STREET
COLUMBUS, NE 68601-4829
Phone number: 402-564-7180
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Mailing Address
-- STEPHEN J MANCUSO DDS
2921 13TH STREET
COLUMBUS, NE 68601-4829
Phone number: 402-564-7180
Copy
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