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1073593992
SHELLY L. MCCOLM
LAWRENCE, KS
NPI
1073593992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: KS KS7061)
Enumeration Date
2006-01-18
Last Update Date
2007-07-08
Business Address
Dr. SHELLY L. MCCOLM D.D.S.
12 W 8TH ST
LAWRENCE, KS 66044-2602
Phone number: 785-832-0809
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Mailing Address
Dr. SHELLY L. MCCOLM D.D.S.
5005 INGE CT
LAWRENCE, KS 66049-4835
Phone number: 785-832-1782
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