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1114442035
CHARLENE L CANADA
CASPER, WY
NPI
1114442035
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Former Name
CHARLENE L CANADA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2017-08-11
Last Update Date
2022-07-21
Business Address
CHARLENE L CANADA MRC CRC
12591 E COW HOLLOW RD
CASPER, WY 82636
Phone number: 307-337-6307
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Mailing Address
CHARLENE L CANADA MRC CRC
12591 E COW HOLLOW RD
EVANSVILLE, WY 82636-9701
Phone number: 307-337-6307
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