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1750802997
RYAN MICHAEL HOLBROOK
FARMINGTON, MO
NPI
1750802997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MO 2017017277)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
Dr. RYAN MICHAEL HOLBROOK DDS
640 W KARSCH BLVD
FARMINGTON, MO 63640-3342
Phone number: 573-218-0346
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Mailing Address
Dr. RYAN MICHAEL HOLBROOK DDS
422 LINCOLN TERRACE CT
FENTON, MO 63026-3981
Phone number: 314-409-9981
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