IVAN RUSSELL WHETTEN

ROCK SPRINGS, WY
NPI1780069401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WY  400T)
Enumeration Date2015-07-23
Last Update Date2015-08-11
Business Address
-- IVAN RUSSELL WHETTEN O.D.
2624 COMMERCIAL WAY STE B
ROCK SPRINGS, WY 82901-4769
Phone number: 307-382-3753
Mailing Address
-- IVAN RUSSELL WHETTEN O.D.
2624 COMMERICAL WAY STE B
ROCK SPRINGS, WY 82901-4769
Phone number: 307-382-3753
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