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Individual

DR. MARIA CARMEN VASCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T., D.P.T

Contact information

Practice address
112 W 3RD ST, SHOSHONI, WY 82649-8728
(307) 851-9008
Mailing address
10880 HIGHWAY 789, RIVERTON, WY 82501-9466
(307) 851-9008

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1478
WY
225100000X
Physical Therapist
2502
AK

Other

Enumeration date
06/12/2013
Last updated
06/12/2013
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