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1104825025
BLANE A WOODFIN
JACKSON, WY
NPI
1104825025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WY 6665A)
Enumeration Date
2005-07-21
Last Update Date
2007-07-09
Business Address
Dr. BLANE A WOODFIN MD
555 E BROADWAY
JACKSON, WY 83001-9496
Phone number: 307-733-3900
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Mailing Address
Dr. BLANE A WOODFIN MD
PO BOX 10490
JACKSON, WY 83002-0490
Phone number: 307-733-3900
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