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1043453822
TINA SAM
ROCK SPRINGS, WY
NPI
1043453822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- TINA SAM
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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Mailing Address
-- TINA SAM
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 307-352-6677
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