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1760956924
MOUNTAIN TRAIL MEDICAL
RAWLINS, WY
NPI
1760956924
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Entity Type
Organization
Authorized Contact
MARVIN WAYNE COUCH
President/Owner
307-320-7075
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2019-01-21
Last Update Date
2023-11-29
Business Address
MOUNTAIN TRAIL MEDICAL
542 16TH ST
RAWLINS, WY 82301-5241
Phone number: 307-324-2759
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Mailing Address
MOUNTAIN TRAIL MEDICAL
1001A E HARMONY RD # 338
FORT COLLINS, CO 80525-3354
Phone number: 307-314-3330
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