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1083697064
COREY LYNN ERNST
CHEYENNE, WY
NPI
1083697064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 187)
Enumeration Date
2005-11-23
Last Update Date
2007-10-02
Business Address
-- COREY LYNN ERNST PA C
2003 BLUEGRASS CIRCLE
CHEYENNE, WY 82009
Phone number: 307-634-4357
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Mailing Address
-- COREY LYNN ERNST PA C
1110 CRESCENT DR
CHEYENNE, WY 82007-9107
Phone number: 307-630-2973
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