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1043253727
GARY C RIDENOUR MD A PROF CORP
FALLON, NV
NPI
1043253727
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Entity Type
Organization
Authorized Contact
GARY CHARLES RIDENOUR
Md
775-423-6400
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-06-13
Last Update Date
2011-05-31
Business Address
GARY C RIDENOUR MD A PROF CORP
625 W WILLIAMS AVE STE B
FALLON, NV 89406
Phone number: 775-423-6400
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Mailing Address
GARY C RIDENOUR MD A PROF CORP
PO BOX 1912
FALLON, NV 89407
Phone number: 775-423-6400
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