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1114394004
ALYSSA RAE KELLER
WORLAND, WY
NPI
1114394004
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Former Name
ALYSSA RAE SONESEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY 0858)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
Mrs. ALYSSA RAE KELLER PTA
120 S 17TH ST
WORLAND, WY 82401-3637
Phone number: 307-347-4001
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Mailing Address
Mrs. ALYSSA RAE KELLER PTA
501 S 15TH ST
WORLAND, WY 82401-3500
Phone number: 307-431-6187
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