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1104658897
DESIREE L WISDORF
CHEYENNE, WY
NPI
1104658897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WX1100X Registered Nurse, Ophthalmic
(Licence: WY 45261)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
Mrs. DESIREE L WISDORF RN
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
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Mailing Address
Mrs. DESIREE L WISDORF RN
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
Copy
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