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1417257155
RIVERTON PHYSICIAN PRACTICES, LLC
RIVERTON, WY
NPI
1417257155
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Entity Type
Organization
Authorized Contact
JESS N JUDY
President
615-372-8500
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2010-10-28
Last Update Date
2010-10-28
Business Address
RIVERTON PHYSICIAN PRACTICES, LLC
1005 COLLEGE VIEW DR
RIVERTON, WY 82501-2289
Phone number: 307-857-3488
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Mailing Address
RIVERTON PHYSICIAN PRACTICES, LLC
1005 COLLEGE VIEW DR
RIVERTON, WY 82501-2289
Phone number: 307-857-3488
Copy
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