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1639698608
JASON LEE SONDGEROTH
LARAMIE, WY
NPI
1639698608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 34334.1654)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
JASON LEE SONDGEROTH
255 N 30TH ST
LARAMIE, WY 82072-5140
Phone number: 307-742-2141
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Mailing Address
JASON LEE SONDGEROTH
5418 SUMMIT DR
LARAMIE, WY 82070-5737
Phone number:
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