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1437321650
JACKSON HOLE SURGERY
JACKSON, WY
NPI
1437321650
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Entity Type
Organization
Authorized Contact
JAMES M. BALLIRO
Owner
307-734-1600
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: WY 6475A)
Enumeration Date
2008-03-27
Last Update Date
2008-03-27
Business Address
JACKSON HOLE SURGERY
555 E. BROADWAY SUITE 212
JACKSON, WY 83001
Phone number: 307-734-1600
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Mailing Address
JACKSON HOLE SURGERY
PO BOX 12976
JACKSON, WY 83002-2976
Phone number: 307-734-1600
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