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Individual

MR. WYATT JEROME KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6900 ALDEN DR, CHEYENNE, WY 82005-3906
(307) 773-2359
Mailing address
5500 BISHOP BLVD, CHEYENNE, WY 82009-3320
(307) 772-5387

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
393
WY

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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