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1376532952
LAWRENCE J DIRKSEN
POWELL, WY
NPI
1376532952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WY 5566A)
Enumeration Date
2005-10-17
Last Update Date
2007-07-08
Business Address
-- LAWRENCE J DIRKSEN M.D.
777 AVENUE H
POWELL, WY 82435-2260
Phone number: 307-754-2267
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Mailing Address
-- LAWRENCE J DIRKSEN M.D.
449 MOUNTAIN VIEW ST
POWELL, WY 82435-2232
Phone number: 307-754-4559
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