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1013254598
SARA NICOLE SMITH
CHEYENNE, WY
NPI
1013254598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WY 132080700)
Enumeration Date
2013-01-03
Last Update Date
2013-01-03
Business Address
Miss SARA NICOLE SMITH
1603 CAPITOL AVE SUITE 510
CHEYENNE, WY 82001-4569
Phone number: 307-635-2888
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Mailing Address
Miss SARA NICOLE SMITH
1808 CROOK AVE
CHEYENNE, WY 82001-5326
Phone number: 307-757-7208
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