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1194382150
BRAIN ADVANCEMENT CENTER, LLC
CHEYENNE, WY
NPI
1194382150
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Entity Type
Organization
Authorized Contact
TAMMI R. MILLER
Owner
307-274-4749
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-05-24
Last Update Date
2020-10-27
Business Address
BRAIN ADVANCEMENT CENTER, LLC
2005 WARREN AVE.
CHEYENNE, WY 82001
Phone number: 307-274-4749
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Mailing Address
BRAIN ADVANCEMENT CENTER, LLC
2005 WARREN AVE
CHEYENNE, WY 82001
Phone number: 307-274-4749
Copy
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