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1053079103
MELISSA GARDNER
WORLAND, WY
NPI
1053079103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY PTA300)
Enumeration Date
2021-12-06
Last Update Date
2021-12-06
Business Address
MELISSA GARDNER PTA
1901 HOWELL AVE
WORLAND, WY 82401-3733
Phone number: 307-347-4285
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Mailing Address
MELISSA GARDNER PTA
PO BOX 374
RIVERTON, WY 82501-0075
Phone number: 307-851-0859
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