DIANE MATLOCK

CHEYENNE, WY
NPI1083032619
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
Enumeration Date2014-04-01
Last Update Date2014-04-01
Business Address
-- DIANE MATLOCK
3149 GREEN VALLEY RD
CHEYENNE, WY 82001-6122
Phone number: 307-203-9125
Mailing Address
-- DIANE MATLOCK
3149 GREEN VALLEY RD
CHEYENNE, WY 82001-6122
Phone number: 307-203-9125
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