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Organization
MEDI SUPPLY NETWORK LLC
Active
Organization
MEDI SUPPLY NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAURICIO MARQUES CAMPELO U (AUTHORIZED OFFICIAL)
(307) 400-2374
Entity
Organization
Contact information
Practice address
30 N GOULD ST STE 43321, SHERIDAN, WY 82801-6317
(307) 400-2374
Mailing address
30 N GOULD ST STE 43321, SHERIDAN, WY 82801-6317
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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