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Organization

SOUTHEAST WYOMING HEALTHWATCH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW CHAD BERGONDO (OWNER)
(307) 214-1350
Entity
Organization

Contact information

Practice address
6867 SAY KALLY RD, CHEYENNE, WY 82009-5734
(307) 214-1350
(307) 635-8486
Mailing address
6867 SAY KALLY RD, CHEYENNE, WY 82009-5734
(307) 214-1359
(307) 635-8486

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
333300000X
Emergency Response System Companies

Other

Enumeration date
06/03/2008
Last updated
06/06/2008
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