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1023200144
TASHIE RENAE LUNDBERG
LOVELL, WY
NPI
1023200144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP-403)
Enumeration Date
2007-08-13
Last Update Date
2007-08-13
Business Address
Mrs. TASHIE RENAE LUNDBERG
435 E 5TH ST
LOVELL, WY 82431-1947
Phone number: 307-548-6722
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Mailing Address
Mrs. TASHIE RENAE LUNDBERG
435 E 5TH ST
LOVELL, WY 82431-1947
Phone number: 307-548-6722
Copy
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