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1760603138
EAR, NOSE & THROAT CENTER OF WYOMING, LLC
EVANSTON, WY
NPI
1760603138
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Entity Type
Organization
Authorized Contact
EVON PEFAUR
Billing
801-328-2522
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: WY 2005000496155)
Enumeration Date
2007-05-01
Last Update Date
2020-08-22
Business Address
EAR, NOSE & THROAT CENTER OF WYOMING, LLC
196 ARROWHEAD DR STE 5
EVANSTON, WY 82930-8752
Phone number: 801-328-2522
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Mailing Address
EAR, NOSE & THROAT CENTER OF WYOMING, LLC
22 S 900 E
SLC, UT 84102-1307
Phone number:
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