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Individual

PATRICIA J TABOGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R,N,

Contact information

Practice address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-2846
(307) 358-5329
Mailing address
1841 MADORA AVE, DOUGLAS, WY 82633-3057
(307) 358-3247
(307) 358-5329

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN27828
WY

Other

Enumeration date
03/24/2010
Last updated
03/24/2010
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