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1083135701
COURTNEY JO TATUM
CHEYENNE, WY
NPI
1083135701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-07-03
Last Update Date
2022-07-21
Business Address
COURTNEY JO TATUM
209 STANFIELD AVE
CHEYENNE, WY 82007
Phone number: 307-631-1636
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Mailing Address
COURTNEY JO TATUM
209 STANFIELD AVE
CHEYENNE, WY 82007-2308
Phone number: 307-631-1636
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