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1003147521
RYAN T. MANGRUM
WESTMINSTER, CO
NPI
1003147521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CO 10066)
Enumeration Date
2010-01-22
Last Update Date
2010-01-22
Business Address
Dr. RYAN T. MANGRUM D.M.D.
7990 SHERIDAN BLVD
WESTMINSTER, CO 80003-6213
Phone number: 303-650-4101
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Mailing Address
Dr. RYAN T. MANGRUM D.M.D.
7990 SHERIDAN BLVD
WESTMINSTER, CO 80003-6213
Phone number: 303-650-4101
Copy
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