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1831262641
LUKE DEWEY BROG
THAYNE, WY
NPI
1831262641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WY 296T)
Enumeration Date
2006-11-17
Last Update Date
2007-07-09
Business Address
Dr. LUKE DEWEY BROG O.D.
122 PETERSEN PARKWAY SUITE 1
THAYNE, WY 83127
Phone number: 307-883-4678
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Mailing Address
Dr. LUKE DEWEY BROG O.D.
PO BOX 800
THAYNE, WY 83127-0800
Phone number: 307-883-4678
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