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1114201910
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CASPER, WY
NPI
1114201910
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Entity Type
Organization
Authorized Contact
MAUREEN L LAFFERTY
Owner
307-337-1624
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2011-09-29
Last Update Date
2011-09-29
Business Address
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201 E 2ND ST SUITE 14
CASPER, WY 82601-2582
Phone number: 307-337-1624
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Mailing Address
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201 E 2ND ST SUITE 14
CASPER, WY 82601-2582
Phone number: 307-337-1624
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