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1619991916
DARYL GRANT HOLDREDGE
GREEN BAY, WI
NPI
1619991916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WI 4401)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
Dr. DARYL GRANT HOLDREDGE DDS
1231 S WEBSTER AVE
GREEN BAY, WI 54301-3007
Phone number: 920-437-7188
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Mailing Address
Dr. DARYL GRANT HOLDREDGE DDS
1231 S WEBSTER AVE
GREEN BAY, WI 54301-3007
Phone number: 920-437-7188
Copy
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