IDA HOLE

CASPER, WY
NPI1518941244
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71001466A)
Enumeration Date2005-12-06
Last Update Date2018-03-17
Business Address
IDA HOLE NP
6600 E 2ND ST
CASPER, WY 82609-4348
Phone number: 307-266-4000
Mailing Address
IDA HOLE NP
6600 E 2ND ST
CASPER, WY 82609-4348
Phone number:
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