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1720291214
LARRY D RICKBORN
WEST COLUMBIA, SC
NPI
1720291214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 2345)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Dr. LARRY D RICKBORN D.M.D
2844 SUNSET BLVD
WEST COLUMBIA, SC 29169-3420
Phone number: 803-731-0803
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Mailing Address
Dr. LARRY D RICKBORN D.M.D
2844 SUNSET BLVD
WEST COLUMBIA, SC 29169-3420
Phone number: 803-731-0803
Copy
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