JIM P PEDERSON

RAWLINS, WY
NPI1902829773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WY  083)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
-- JIM P PEDERSON PA
606 23RD ST
RAWLINS, WY 82301-5127
Phone number: 307-324-6002
Mailing Address
-- JIM P PEDERSON PA
606 23RD ST
RAWLINS, WY 82301-5127
Phone number: 307-324-6002
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