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1124037924
RANDY LEE SORENSEN
LEWISTON, ID
NPI
1124037924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D3092)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. RANDY LEE SORENSEN D.M.D.
939 BRYDEN AVE
LEWISTON, ID 83501-5057
Phone number: 208-746-2668
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Mailing Address
Dr. RANDY LEE SORENSEN D.M.D.
939 BRYDEN AVE
LEWISTON, ID 83501-5057
Phone number: 208-746-2668
Copy
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