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1336923192
SELAH MEDICAL, LLC
CHEYENNE, WY
NPI
1336923192
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Entity Type
Organization
Authorized Contact
KRISTINE MARIE MARTINO
Owner
307-640-0273
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2023-08-22
Last Update Date
2024-03-11
Business Address
SELAH MEDICAL, LLC
920 CREIGHTON ST
CHEYENNE, WY 82009-3229
Phone number: 307-640-0273
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Mailing Address
SELAH MEDICAL, LLC
920 CREIGHTON ST
CHEYENNE, WY 82009-3229
Phone number: 307-640-0273
Copy
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