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1063656536
JACK VERNON RICHARD
CASPER, WY
NPI
1063656536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WY 2274V)
Enumeration Date
2009-04-28
Last Update Date
2009-04-28
Business Address
MR. JACK VERNON RICHARD M.D.
3500 HAT SIX ROAD
CASPER, WY 82609
Phone number: 307-265-7881
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Mailing Address
MR. JACK VERNON RICHARD M.D.
P.O. BOX 186
EVANSVILLE, WY 82636-0186
Phone number: 307-265-7881
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