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1194792457
RED ROCK FAMILY PRACTICE, PC
THERMOPOLIS, WY
NPI
1194792457
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Entity Type
Organization
Authorized Contact
WADE TRAVIS BOMENGEN
Owner
307-864-5534
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-03-07
Last Update Date
2012-06-07
Business Address
RED ROCK FAMILY PRACTICE, PC
120 N C AVE
THERMOPOLIS, WY 82443-2410
Phone number: 307-864-5534
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Mailing Address
RED ROCK FAMILY PRACTICE, PC
120 N C AVE
THERMOPOLIS, WY 82443-2410
Phone number: 307-864-5534
Copy
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