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1013031962
WAYNE NIELSEN COLQUITT
ANN ARBOR, MI
NPI
1013031962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI D9404)
Enumeration Date
2007-03-18
Last Update Date
2007-07-08
Business Address
Dr. WAYNE NIELSEN COLQUITT dds
625 E LIBERTY ST 202
ANN ARBOR, MI 48104-2013
Phone number: 734-668-6612
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Mailing Address
Dr. WAYNE NIELSEN COLQUITT dds
625 E LIBERTY ST 202
ANN ARBOR, MI 48104-2013
Phone number: 734-668-6612
Copy
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