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1174950919
WYOMING PACE
CHEYENNE, WY
NPI
1174950919
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Entity Type
Organization
Authorized Contact
LAURIE WRIGHT
Clinical Director
307-633-7005
Organization Subpart ?
Yes
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2013-10-10
Last Update Date
2013-10-10
Business Address
WYOMING PACE
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-773-8112
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Mailing Address
WYOMING PACE
214 E 23RD ST
CHEYENNE, WY 82001-3748
Phone number: 307-773-8112
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