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Organization
DOUBLE RAINBOW SCIENCES, LLC
Active
Organization
DOUBLE RAINBOW SCIENCES, LLC
Active
Other names
Jackson Hole Center for Preventive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D. LANGER MD, MPH (MANAGING MEMBER)
(307) 733-4452
Entity
Organization
Contact information
Practice address
555 E. BROADWAY, SUITE 108, JACKSON, WY 83001
(307) 733-4452
Mailing address
PO BOX 7550, JACKSON, WY 83002-7550
(307) 733-4452
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
7777A
WY
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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