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1215593280
TAISSHIA BURT
SHERIDAN, WY
NPI
1215593280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
TAISSHIA BURT
1701 W 5TH ST STE C
SHERIDAN, WY 82801-2749
Phone number: 307-674-5534
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Mailing Address
TAISSHIA BURT
909 LONG DR STE C
SHERIDAN, WY 82801-3282
Phone number:
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