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Individual
SANDIN CRAIG BARNEY
Active
Individual
SANDIN CRAIG BARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
MT29
MT
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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