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1124562202
ROBERT LANE VINEYARD
CASPER, WY
NPI
1124562202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WY 16150)
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
ROBERT LANE VINEYARD RN
1430 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
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Mailing Address
ROBERT LANE VINEYARD RN
1430 WILKINS CIR
CASPER, WY 82601-1336
Phone number: 307-237-9583
Copy
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