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1639203664
BRANDON VASHON MACK
ROCK SPRINGS, WY
NPI
1639203664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WY TL799)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
DR. BRANDON VASHON MACK MD
1200 COLLEGE DR
ROCK SPRINGS, WY 82901-5868
Phone number: 307-352-8326
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Mailing Address
DR. BRANDON VASHON MACK MD
1200 COLLEGE DR P.O. BOX 1359
ROCK SPRINGS, WY 82901-5868
Phone number: 307-352-8326
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