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NPI Verification

National Provider Identifier: 1548909153

Clean Clinic Wyoming

Organization

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

Practice Address

1918 THOMES AVE

CHEYENNE, WY 820013527

Phone: 928-242-9929

NPI Enumeration Date

June 1, 2022

NPI Number

1548909153

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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