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Organization

NORTH EAST WYOMING SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JESSICA HUCKINS R.N. (ADMINISTRATOR)
(307) 686-8283
Entity
Organization

Contact information

Practice address
1307 W 3RD ST, GILLETTE, WY 82716-3335
(307) 686-8283
Mailing address
1307 W 3RD ST, GILLETTE, WY 82716-3335
(307) 686-8283

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
06015
WY

Other

Enumeration date
07/07/2005
Last updated
05/11/2020
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