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1114907722
DAVE R BRUMBAUGH
LARAMIE, WY
NPI
1114907722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: WY 388)
Enumeration Date
2006-01-19
Last Update Date
2007-07-08
Business Address
-- DAVE R BRUMBAUGH PA-C
1909 VISTA DR
LARAMIE, WY 82070-5530
Phone number: 307-745-8851
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Mailing Address
-- DAVE R BRUMBAUGH PA-C
1909 VISTA DR
LARAMIE, WY 82070-5530
Phone number: 307-745-8851
Copy
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