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Individual
DR. RICHARD M. JAOUEN
Active
Individual
DR. RICHARD M. JAOUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2824A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119886600
—
WY
01
—
314782
BLUE CROSS BLUE SHIELD
WY
01
—
P00403110
RAILROAD MEDICARE
WY
Enumeration date
06/29/2006
Last updated
11/03/2014
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