ALEXIS SHANTE' FANNING

CHEYENNE, WY
NPI1053151985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
ALEXIS SHANTE' FANNING
4514 LARAMIE ST UNIT AB
CHEYENNE, WY 82001-2154
Phone number: 307-638-8182
Mailing Address
ALEXIS SHANTE' FANNING
4514 LARAMIE ST UNIT AB
CHEYENNE, WY 82001-2154
Phone number: 307-638-8182
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