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Individual

MS. CARYL B PARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MT(ASCP)

Contact information

Practice address
29 BLACK COAL RD, LABORATORY, FORT WASHAKIE, WY 82514-0128
(307) 332-7672
(307) 332-7514
Mailing address
260 GRANDVIEW DR, INN AT LANDER BEST WESTERN ROOM 609, LANDER, WY 82520-2928
(704) 516-4409
(307) 332-7514

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary

Other

Enumeration date
07/10/2010
Last updated
07/10/2010
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