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1831383264
ANESTHESIA SERVICES OF JACKSONHOLE, P.C.
JACKSON, WY
NPI
1831383264
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Entity Type
Organization
Authorized Contact
CHARLES L. PAYNE
President
307-734-6956
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WY 6301A)
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
ANESTHESIA SERVICES OF JACKSONHOLE, P.C.
970 W BROADWAY # 378
JACKSON, WY 83001-9475
Phone number: 307-734-6956
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Mailing Address
ANESTHESIA SERVICES OF JACKSONHOLE, P.C.
970 W BROADWAY # 378
JACKSON, WY 83001-9475
Phone number: 307-734-6956
Copy
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