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Organization

JACOB G. DESPAIN OD PC

Active
Other names
Family Vision Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB G DESPAIN O.D. (OPTOMETRIST)
(307) 587-2404
Entity
Organization

Contact information

Practice address
1708 STAMPEDE AVE, CODY, WY 82414-4829
(307) 587-2404
(307) 527-7368
Mailing address
1708 STAMPEDE AVE, CODY, WY 82414-4829
(307) 587-2404
(307) 527-7368

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
327T
WY

Other

Enumeration date
05/19/2014
Last updated
05/19/2014
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