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1215102132
CHRISTA J VANDERVORT
GREEN RIVER, WY
NPI
1215102132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY sp080)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
-- CHRISTA J VANDERVORT SP
1400 UINTA DR
GREEN RIVER, WY 82935-5060
Phone number: 307-872-4500
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Mailing Address
-- CHRISTA J VANDERVORT SP
1400 UINTA DR
GREEN RIVER, WY 82935-5060
Phone number: 307-872-4500
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