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1023341294
JENNA DANIELLE GALLEGOS
LARAMIE, WY
NPI
1023341294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WY 739)
Enumeration Date
2009-09-04
Last Update Date
2009-09-04
Business Address
Ms. JENNA DANIELLE GALLEGOS COTA
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
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Mailing Address
Ms. JENNA DANIELLE GALLEGOS COTA
1416 E CUSTER ST APPARTMENT A
LARAMIE, WY 82070-4132
Phone number: 307-421-3172
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