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1255707006
STEVAN SQUIRES
CHEYENNE, WY
NPI
1255707006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WY 3854)
Enumeration Date
2015-08-17
Last Update Date
2015-08-17
Business Address
-- STEVAN SQUIRES Pharm D., RPh
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7550
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Mailing Address
-- STEVAN SQUIRES Pharm D., RPh
664 N 6TH ST
LARAMIE, WY 82072-2606
Phone number: 307-760-1132
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