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1003384983
PAS WYOMING
LARAMIE, WY
NPI
1003384983
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Entity Type
Organization
Authorized Contact
MARK SPARKS
Director
307-460-0507
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
PAS WYOMING
1465 N 4TH ST STE 111
LARAMIE, WY 82072-2066
Phone number: 307-460-0507
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Mailing Address
PAS WYOMING
PO BOX 1630
LARAMIE, WY 82073-1630
Phone number: 307-460-0507
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