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1114061611
MICHELLE L MAZUR
LANDER, WY
NPI
1114061611
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Former Name
MICHELLE LYNNE WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XH1200X Occupational Therapist Hand
(Licence: WY OT814)
Enumeration Date
2007-02-16
Last Update Date
2022-12-05
Business Address
MICHELLE L MAZUR OT
535 E MAIN ST STE D
LANDER, WY 82520-3424
Phone number: 307-335-3471
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Mailing Address
MICHELLE L MAZUR OT
PO BOX 625
LANDER, WY 82520-0625
Phone number: 307-335-3471
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