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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 Date2025-11-18
Business Address
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1744 S POPLAR ST STE B
CASPER, WY 82601-4553
Phone number: 307-301-2001
Mailing Address
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1744 S POPLAR ST STE B
CASPER, WY 82601-4553
Phone number: 307-301-2001