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CASPER, WY
NPI1225406085
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  27200-1432)
Enumeration Date2015-09-10
Last Update Date2015-09-10
Business Address
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2546 E 2ND ST SUITE 200
CASPER, WY 82609-2062
Phone number: 307-265-1110
Mailing Address
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2546 E 2ND ST SUITE 200
CASPER, WY 82609-2062
Phone number: 307-265-1110