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1790737005
LEIF ANDREW POLSON
THERMOPOLIS, WY
NPI
1790737005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 6549)
Enumeration Date
2006-05-16
Last Update Date
2014-08-20
Business Address
DR. LEIF ANDREW POLSON D.D.S
110 E ARAPAHOE ST
THERMOPOLIS, WY 82443-2402
Phone number: 307-864-9411
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Mailing Address
DR. LEIF ANDREW POLSON D.D.S
110 E ARAPAHOE ST
THERMOPOLIS, WY 82443-2402
Phone number: 307-864-9411
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