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1992002232
MARK STEPHEN PALMER
LARAMIE, WY
NPI
1992002232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WY 893)
Additional Taxonomies
122300000X Dentist
(Licence: CO 6937)
Enumeration Date
2011-02-23
Last Update Date
2011-02-23
Business Address
Dr. MARK STEPHEN PALMER DDS
204 MCCOLLUM DR SUITE 103
LARAMIE, WY 82070-5103
Phone number: 307-745-5055
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Mailing Address
Dr. MARK STEPHEN PALMER DDS
PO BOX 987
LARAMIE, WY 82073-0987
Phone number:
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