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1407962988
KORY LEE BUMGARDNER
HASTINGS, NE
NPI
1407962988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 6316)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. KORY LEE BUMGARDNER dentist
2217 W 12TH ST SUITE #3
HASTINGS, NE 68901-3660
Phone number: 402-462-6484
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Mailing Address
Dr. KORY LEE BUMGARDNER dentist
2217 W 12TH ST SUITE #3
HASTINGS, NE 68901-3660
Phone number: 402-462-6484
Copy
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