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1184638165
LARRY VENGENDEREN
LARAMIE, WY
NPI
1184638165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: WY 2300A)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
LARRY VENGENDEREN MD
1909 VISTA DR
LARAMIE, WY 82070
Phone number: 307-745-8851
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Mailing Address
LARRY VENGENDEREN MD
1909 VISTA DR
LARAMIE, WY 82070
Phone number: 307-745-8851
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