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1285091298
DIANE SERVANTEZ
TORRINGTON, WY
NPI
1285091298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
DIANE SERVANTEZ
2202 W C ST
TORRINGTON, WY 82240-1807
Phone number: 307-532-0362
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Mailing Address
DIANE SERVANTEZ
2202 W C ST
TORRINGTON, WY 82240-1807
Phone number: 307-532-0362
Copy
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