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1497006241
KIM JOANN BIRD
RIVERTON, WY
NPI
1497006241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WY 15341)
Enumeration Date
2012-09-19
Last Update Date
2012-09-19
Business Address
-- KIM JOANN BIRD RN
613 E JEFFERSON AVE
RIVERTON, WY 82501
Phone number: 307-851-1188
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Mailing Address
-- KIM JOANN BIRD RN
PO BOX 2128
RIVERTON, WY 82501
Phone number: 307-851-1188
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