BILLY BURKE STANGE

LANDER, WY
NPI1902137862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
(Licence: NM  93339)
Enumeration Date2010-01-15
Last Update Date2010-01-15
Business Address
Mr. BILLY BURKE STANGE MLT
125 DILLON DR APT 104
LANDER, WY 82520-2938
Phone number: 575-937-5752
Mailing Address
Mr. BILLY BURKE STANGE MLT
125 DILLON DR APT 104
LANDER, WY 82520-2938
Phone number: 575-937-5752
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