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1871629832
FAMILY CLINIC
CASPER, WY
NPI
1871629832
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Entity Type
Organization
Authorized Contact
DANA R IDEEN
Managing Member
307-235-8552
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-02-26
Last Update Date
2010-11-11
Business Address
FAMILY CLINIC
1315 E A ST
CASPER, WY 82601-2212
Phone number: 307-235-8552
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Mailing Address
FAMILY CLINIC
1315 E A ST
CASPER, WY 82601-2212
Phone number: 307-235-8552
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