GOOSE CREEK FAMILY PRACTICE, P.C.

SHERIDAN, WY
NPI1134407356
Entity TypeOrganization
Authorized ContactDEBRA ANN KAWULOK
President
307-674-1744
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: WY  11988.1019)
Enumeration Date2011-07-22
Last Update Date2012-11-09
Business Address
GOOSE CREEK FAMILY PRACTICE, P.C.
304 COFFEEN AVE SUITE A
SHERIDAN, WY 82801-4803
Phone number: 307-674-1744
Mailing Address
GOOSE CREEK FAMILY PRACTICE, P.C.
304 COFFEEN AVE SUITE A
SHERIDAN, WY 82801-4803
Phone number: 307-674-1744
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