GARY W VOLLAN

BASIN, WY
NPI1790844041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-184236)
Enumeration Date2006-12-06
Last Update Date2007-07-08
Business Address
-- GARY W VOLLAN
502 SOUTH 4TH
BASIN, WY 82410-0332
Phone number: 307-568-2047
Mailing Address
-- GARY W VOLLAN
PO BOX 332 502 S. 4TH
BASIN, WY 82410-0332
Phone number: 307-568-2047