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1043469620
FRED A SNELSON
CODY, WY
NPI
1043469620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-09-18
Last Update Date
2008-09-19
Business Address
-- FRED A SNELSON
707 SHERIDAN AVE
CODY, WY 82414-3409
Phone number: 307-527-7501
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Mailing Address
-- FRED A SNELSON
1402 MEADOWLANE AVE
CODY, WY 82414
Phone number: 307-527-7501
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