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1477509651
INDEPENDENT FAMILY PRACTICE
THAYNE, WY
NPI
1477509651
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Entity Type
Organization
Authorized Contact
DONALD KIRK
Owner
307-883-4437
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-05-26
Last Update Date
2020-08-22
Business Address
INDEPENDENT FAMILY PRACTICE
122 PETERSON PKWY
THAYNE, WY 83127
Phone number: 307-883-4437
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Mailing Address
INDEPENDENT FAMILY PRACTICE
122 PETERSON PKWY
THAYNE, WY 83127
Phone number: 307-883-4437
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