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1083722169
MARCUS JAMES VANDERLEEST
GREEN BAY, WI
NPI
1083722169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 53064)
Enumeration Date
2006-08-28
Last Update Date
2007-07-08
Business Address
Dr. MARCUS JAMES VANDERLEEST DDS
2913 GLENDALE AVE
GREEN BAY, WI 54313
Phone number: 920-434-3950
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Mailing Address
Dr. MARCUS JAMES VANDERLEEST DDS
2913 GLENDALE AVE
GREEN BAY, WI 54313
Phone number: 920-434-3950
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