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Individual

JUANITA SAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
128 N BENT ST, POWELL, WY 82435-2712
(307) 765-4107
(307) 764-1892
Mailing address
917 LANE 13, POWELL, WY 82435-8710
(307) 764-4107
(307) 764-1892

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
14829
AZ

Other

Enumeration date
04/11/2007
Last updated
02/05/2016
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