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1558561621
MICHAEL G SHANE
LANDER, WY
NPI
1558561621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WY 926)
Enumeration Date
2007-07-18
Last Update Date
2007-07-18
Business Address
-- MICHAEL G SHANE dds
350 GARFIELD ST
LANDER, WY 82520-3124
Phone number: 307-332-3181
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Mailing Address
-- MICHAEL G SHANE dds
350 GARFIELD ST
LANDER, WY 82520-3124
Phone number: 307-332-3181
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