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Organization

WELLNESS SCREENING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VALERIE ROBERTS (OWNER MT ASCP)
(307) 235-6004
Entity
Organization

Contact information

Practice address
1988 E 1ST ST, SUITE A, CASPER, WY 82601-2747
(307) 235-6004
(307) 235-6009
Mailing address
1988 E 1ST ST, SUITE A, CASPER, WY 82601-2747
(307) 235-6004
(307) 235-6009

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
04/29/2009
Last updated
04/29/2009
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