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1114221470
ESPRI KEATON LANCE
POWELL, WY
NPI
1114221470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-12-30
Last Update Date
2010-12-30
Business Address
-- ESPRI KEATON LANCE
146 S BENT ST
POWELL, WY 82435-2714
Phone number: 307-754-5101
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Mailing Address
-- ESPRI KEATON LANCE
146 S BENT ST
POWELL, WY 82435-2714
Phone number: 307-754-5101
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