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1740530179
DAZA MEDICAL CONSULTING SERVICE PC
WORLAND, WY
NPI
1740530179
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Entity Type
Organization
Authorized Contact
LORI LABRECQUE
Accts Mgr
702-453-3799
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: WY 8947A)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
DAZA MEDICAL CONSULTING SERVICE PC
400 S 15TH STREET
WORLAND, WY 82401-3531
Phone number: 307-347-3221
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Mailing Address
DAZA MEDICAL CONSULTING SERVICE PC
2425 SHADOW RIDGE DRIVE
GERING, NE 69341
Phone number: 702-453-3799
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