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1710980651
PAUL ALAN AXTHELM
RIVERTON, WY
NPI
1710980651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WY 681)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
Dr. PAUL ALAN AXTHELM DDS
325 W MAIN ST STE A
RIVERTON, WY 82501-3448
Phone number: 307-856-8197
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Mailing Address
Dr. PAUL ALAN AXTHELM DDS
325 W MAIN ST STE A
RIVERTON, WY 82501-3448
Phone number: 307-856-8197
Copy
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