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1225877202
SHAYLA MARIE WICKETT
CASPER, WY
NPI
1225877202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-2391)
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
SHAYLA MARIE WICKETT DPT
1541 CENTENNIAL CT
CASPER, WY 82609-7304
Phone number: 307-235-3910
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Mailing Address
SHAYLA MARIE WICKETT DPT
PO BOX 1791 15 SAGE HILL RD
GLENROCK, WY 82637-1791
Phone number: 307-262-4212
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