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Individual

MELISSA FOLSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8201 NORTHWOODS DR, LINCOLN, NE 68505-3092
(402) 465-5600
(402) 437-0852
Mailing address
3810 OLD DOMINION CT, LINCOLN, NE 68516-5464
(402) 465-5600
(402) 437-0852

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10218097
NE

Other

Enumeration date
05/17/2007
Last updated
07/08/2007
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