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1104360726
JENNIFER PANNEBAKER
CHEYENNE, WY
NPI
1104360726
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Former Name
JENNIFER BAUSERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 1-14-9812)
Enumeration Date
2016-12-16
Last Update Date
2020-01-06
Business Address
JENNIFER PANNEBAKER
813 RANDALL AVE
CHEYENNE, WY 82001
Phone number: 719-469-4906
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Mailing Address
JENNIFER PANNEBAKER
813 RANDALL AVE
CHEYENNE, WY 82001-2559
Phone number: 719-469-4906
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