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Individual

MRS. DIANNE MARIE GROTEFEND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
(307) 527-6218
Mailing address
1066 E MADISON ST, POWELL, WY 82435-3148
(307) 587-2197
(307) 527-6218

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27295
WY

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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