BRYAN LANE

LARAMIE, WY
NPI1083184485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
BRYAN LANE
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
BRYAN LANE
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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