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1699316430
JEFFREY ANTON SHIDEMAN
SHERIDAN, WY
NPI
1699316430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 44709)
Enumeration Date
2019-10-02
Last Update Date
2022-10-13
Business Address
Dr. JEFFREY ANTON SHIDEMAN DNP, NP-C
61 S GOULD ST
SHERIDAN, WY 82801-6304
Phone number: 307-675-2690
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Mailing Address
Dr. JEFFREY ANTON SHIDEMAN DNP, NP-C
1333 W 5TH ST STE 110
SHERIDAN, WY 82801-2752
Phone number: 307-675-2650
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