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1366289290
PPM WYOMING LLC
AFTON, WY
NPI
1366289290
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Entity Type
Organization
Authorized Contact
AMBER TUELLER
Corporate Secretary
208-401-1400
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
PPM WYOMING LLC
770 S WASHINGTON ST STE B
AFTON, WY 83110-5135
Phone number: 888-253-6598
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Mailing Address
PPM WYOMING LLC
1916 N 700 W STE 110
LAYTON, UT 84041-5754
Phone number: 385-427-1570
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