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Organization

BLOOMING LEMON WELLNESS AND AESTHETICS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID HILE MD (PRESIDENT)
(970) 688-1975
Entity
Organization

Contact information

Practice address
709 E GRAND AVE, LARAMIE, WY 82070-3945
(970) 688-1975
Mailing address
709 E GRAND AVE, LARAMIE, WY 82070-3945

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
03/28/2019
Last updated
03/28/2019
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