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1952382822
ROBERT WADE WASHBURN
FE WARREN AFB, WY
NPI
1952382822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NCCPA 1045811)
Enumeration Date
2005-11-08
Last Update Date
2007-07-08
Business Address
-- ROBERT WADE WASHBURN PA
6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005-3906
Phone number: 307-773-3461
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Mailing Address
-- ROBERT WADE WASHBURN PA
6900 ALDEN DR 90 MDG
FE WARREN AFB, WY 82005-3906
Phone number: 307-773-3461
Copy
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