Individual
DR. BRENT LEVI BONDURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
212 E IVINSON AVE, LARAMIE, WY 82070-3039
(307) 742-4332
(307) 745-1536
Mailing address
212 EAST IVINSON, LARAMIE, WY 82070
(307) 742-4332
(307) 745-1536
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
658
WY
Other
Enumeration date
09/12/2006
Last updated
07/08/2007
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