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1104019850
NANCY ANN AXTHELM
CODY, WY
NPI
1104019850
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Other Name
NANCY WALTERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP158)
Enumeration Date
2007-08-24
Last Update Date
2007-08-24
Business Address
Mrs. NANCY ANN AXTHELM CCCSLP
808 NORTH STREET
CODY, WY 82414-5213
Phone number: 307-527-7060
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Mailing Address
Mrs. NANCY ANN AXTHELM CCCSLP
PO BOX 2901
CODY, WY 82414-5213
Phone number: 307-527-7060
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