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1043977176
HAVEN DIRECT HEALTH SYSTEMS LLC
RIVERTON, WY
NPI
1043977176
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Entity Type
Organization
Authorized Contact
JADELL HOVANDER
Managing Member
307-856-1189
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
HAVEN DIRECT HEALTH SYSTEMS LLC
716 COLLEGE VIEW DR STE A
RIVERTON, WY 82501-2282
Phone number: 307-856-1189
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Mailing Address
HAVEN DIRECT HEALTH SYSTEMS LLC
PO BOX 6066
RIVERTON, WY 82501-0399
Phone number: 307-856-1189
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