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1881790509
MARILYN VIGIL KETCHAM
DENVER, CO
NPI
1881790509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO 6990)
Additional Taxonomies
122300000X Dentist
(Licence: NM DD2546)
Enumeration Date
2006-09-16
Last Update Date
2011-09-06
Business Address
Dr. MARILYN VIGIL KETCHAM DDS
3800 YORK ST
DENVER, CO 80205-3540
Phone number: 303-296-4873
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Mailing Address
Dr. MARILYN VIGIL KETCHAM DDS
3800 YORK ST
DENVER, CO 80205-3540
Phone number: 303-296-4873
Copy
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