Organization
GILLETTE INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAOUL JOUBRAN MD (PRESIDENT)
(307) 686-4940
Entity
Organization
Contact information
Practice address
1503 CRESSETT ST, GILLETTE, WY 92716
(307) 686-4940
Mailing address
1503 CRESSETT, GILLETTE, WY 92716
(307) 686-4940
(307) 682-1811
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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