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1497492417
JESSE LAMAR ATWOOD
CHEYENNE, WY
NPI
1497492417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 207-T1)
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
Dr. JESSE LAMAR ATWOOD DO
820 E 17TH ST
CHEYENNE, WY 82001-4714
Phone number: 307-632-2434
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Mailing Address
Dr. JESSE LAMAR ATWOOD DO
1101 EVERGLADE DR
CHEYENNE, WY 82001-6958
Phone number: 605-890-2641
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