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Individual

GWENDI RIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3211 ENERGY LN STE 306, CASPER, WY 82604-2963
(307) 277-1699
Mailing address
PO BOX 2691, MILLS, WY 82644-2691
(307) 277-1699

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5840
WY

Other

Enumeration date
07/13/2018
Last updated
07/13/2018
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