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1174657621
KIRK COLBERT
CHEYENNE, WY
NPI
1174657621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WY wyo 760)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- KIRK COLBERT
1331 PRAIRIE AVE STE 4
CHEYENNE, WY 82009-4867
Phone number: 307-632-6512
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Mailing Address
-- KIRK COLBERT
1331 PRAIRIE AVE STE 4
CHEYENNE, WY 82009-4867
Phone number: 307-632-6512
Copy
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