Organization
GRAND AVENUE URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JACOBS (OWNER)
(307) 760-8602
Entity
Organization
Contact information
Practice address
3236 E GRAND AVE STE D, LARAMIE, WY 82070-5100
(307) 760-8602
Mailing address
3236 E GRAND AVE STE D, LARAMIE, WY 82070-5100
(307) 760-8602
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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