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1528558004
OPEN RANGE TELEPSYCHIATRY LLC
SHERIDAN, WY
NPI
1528558004
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Entity Type
Organization
Authorized Contact
RONDA BRAY
Owner
812-384-5237
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2018-05-10
Last Update Date
2018-05-10
Business Address
OPEN RANGE TELEPSYCHIATRY LLC
30 N GOULD ST STE 7141
SHERIDAN, WY 82801-6362
Phone number: 307-278-7542
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Mailing Address
OPEN RANGE TELEPSYCHIATRY LLC
30 N GOULD ST STE 7141
SHERIDAN, WY 82801-6362
Phone number: 307-278-7542
Copy
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