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1174867246
JUSTIN PENDLETON
LARAMIE, WY
NPI
1174867246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2012-11-15
Last Update Date
2013-01-14
Business Address
-- JUSTIN PENDLETON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
-- JUSTIN PENDLETON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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