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1952464604
MIKEL ROBERT WEIDEMAN
LANDER, WY
NPI
1952464604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: WY 134T)
Enumeration Date
2006-12-17
Last Update Date
2020-05-07
Business Address
MIKEL ROBERT WEIDEMAN O.D.
556 MAIN ST
LANDER, WY 82520-3032
Phone number: 307-332-2020
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Mailing Address
MIKEL ROBERT WEIDEMAN O.D.
556 MAIN ST
LANDER, WY 82520-3032
Phone number: 307-332-2020
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