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1235600891
AUDRA STUMBAUGH
GILLETTE, WY
NPI
1235600891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2018-12-07
Last Update Date
2018-12-07
Business Address
Mrs. AUDRA STUMBAUGH
10 ARCTIC AVE
GILLETTE, WY 82718-4171
Phone number: 307-670-2181
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Mailing Address
Mrs. AUDRA STUMBAUGH
10 ARCTIC AVE
GILLETTE, WY 82718-4171
Phone number: 307-670-2181
Copy
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