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1285994350
LEB PERIOPERATIVE MEDICINE LLC
CODY, WY
NPI
1285994350
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Entity Type
Organization
Authorized Contact
LUKE E BRACKE
Owner
208-525-2090
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2012-05-23
Last Update Date
2012-05-23
Business Address
LEB PERIOPERATIVE MEDICINE LLC
707 SHERIDAN AVE
CODY, WY 82414-3409
Phone number: 307-587-2139
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Mailing Address
LEB PERIOPERATIVE MEDICINE LLC
PO BOX 3112
IDAHO FALLS, ID 83403-3112
Phone number: 208-525-2090
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