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1104900430
RUSSELL LAYNE COAD
WICHITA, KS
NPI
1104900430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KS 6184)
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL LAYNE COAD D.D.S.
3525 N RIDGE RD STE 100
WICHITA, KS 67205-1212
Phone number: 316-773-3882
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Mailing Address
Dr. RUSSELL LAYNE COAD D.D.S.
3525 N RIDGE RD STE 100
WICHITA, KS 67205-1212
Phone number: 316-773-3882
Copy
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