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1649383001
JEFFREY D GREENBAUM
JACKSON, WY
NPI
1649383001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: WY 6444A)
Enumeration Date
2006-08-17
Last Update Date
2021-02-03
Business Address
Dr. JEFFREY D GREENBAUM MD
625 E BROADWAY ST
JACKSON, WY 83001-0428
Phone number: 307-733-3636
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Mailing Address
Dr. JEFFREY D GREENBAUM MD
PO BOX 428 625 E BROADWAY
JACKSON, WY 83001-0428
Phone number: 307-733-3636
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