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1134744600
MOUNTAIN MEDICINE LLC
EVANSTON, WY
NPI
1134744600
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Entity Type
Organization
Authorized Contact
CHET RUGER
Administrator
307-209-2220
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2020-06-10
Last Update Date
2020-10-06
Business Address
MOUNTAIN MEDICINE LLC
170 ARROWHEAD DR
EVANSTON, WY 82930-9307
Phone number: 307-267-2116
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Mailing Address
MOUNTAIN MEDICINE LLC
170 ARROWHEAD DR
EVANSTON, WY 82930-9307
Phone number: 307-209-2220
Copy
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