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1114402849
JAMIE CATHERINE KIDDER
CASPER, WY
NPI
1114402849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WY 19956.1807)
Enumeration Date
2018-09-28
Last Update Date
2020-11-06
Business Address
JAMIE CATHERINE KIDDER NP-C
6500 E 2ND ST
CASPER, WY 82609-4338
Phone number: 307-995-8100
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Mailing Address
JAMIE CATHERINE KIDDER NP-C
6350 E 2ND ST
CASPER, WY 82609-4264
Phone number: 307-258-8376
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