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1033290978
FRED A BALDWIN
KEMMERER, WY
NPI
1033290978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 175)
Enumeration Date
2006-10-18
Last Update Date
2012-01-06
Business Address
Mr. FRED A BALDWIN P.A.
711 ONYX ST
KEMMERER, WY 83101-3214
Phone number: 307-877-4496
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Mailing Address
Mr. FRED A BALDWIN P.A.
711 ONYX ST
KEMMERER, WY 83101-3214
Phone number: 307-877-4496
Copy
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