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Individual

MARK RICHARD RITCHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1914 THOMES AVE, CHEYENNE, WY 82001-3527
(307) 631-9931
(307) 635-7706
Mailing address
1914 THOMES AVE, CHEYENNE, WY 82001-3527
(307) 631-9931
(307) 635-7706

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
508
WY

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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