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1306977467
MARK R SHANE
CODY, WY
NPI
1306977467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: WY 747)
Enumeration Date
2007-03-08
Last Update Date
2015-08-17
Business Address
Dr. MARK R SHANE DC
1708 STAMPEDE AVE SUITE C
CODY, WY 82414-4829
Phone number: 307-587-5591
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Mailing Address
Dr. MARK R SHANE DC
1708 STAMPEDE AVE SUITE C
CODY, WY 82414-4829
Phone number: 307-587-5591
Copy
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