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1174300719
RYAN LEE DESMOND
ROCK SPRINGS, WY
NPI
1174300719
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-09-08
Last Update Date
2023-09-08
Business Address
RYAN LEE DESMOND
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 130-735-2667
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Mailing Address
RYAN LEE DESMOND
2300 FOOTHILL BLVD
ROCK SPRINGS, WY 82901-5610
Phone number: 130-735-2667
Copy
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