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1881890960
JOHN WIERDSMA
SALIDA, CO
NPI
1881890960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5101018199)
Enumeration Date
2007-06-25
Last Update Date
2021-04-05
Business Address
DR. JOHN WIERDSMA D.O.
668 W SACKETT AVE
SALIDA, CO 81201-1661
Phone number: 540-353-2916
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Mailing Address
DR. JOHN WIERDSMA D.O.
668 W SACKETT AVE
SALIDA, CO 81201-1661
Phone number: 540-353-2916
Copy
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