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1194263814
STACEY LYNNE BUCHANAN GURN
SHERIDAN, WY
NPI
1194263814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY CAP 146)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- STACEY LYNNE BUCHANAN GURN BA, CAP
360 COLLEGE MEADOWS DR
SHERIDAN, WY 82801-9153
Phone number: 307-673-2510
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Mailing Address
-- STACEY LYNNE BUCHANAN GURN BA, CAP
360 COLLEGE MEADOWS DR
SHERIDAN, WY 82801-9153
Phone number: 307-673-2510
Copy
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