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1053092031
TROY MATTHEW CAMPBELL
EVANSVILLE, WY
NPI
1053092031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2023-07-31
Last Update Date
2023-10-24
Business Address
TROY MATTHEW CAMPBELL
11055 E WAGON TRAIL RD
EVANSVILLE, WY 82636-9680
Phone number: 307-258-7917
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Mailing Address
TROY MATTHEW CAMPBELL
11055 E WAGON TRAIL RD
EVANSVILLE, WY 82636-9680
Phone number: 307-258-7917
Copy