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1306008081
DIANE JANICKI
GREEN RIVER, WY
NPI
1306008081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY 218)
Enumeration Date
2008-06-25
Last Update Date
2008-06-25
Business Address
-- DIANE JANICKI R.P.T
140 COMMERCE DR
GREEN RIVER, WY 82935-6178
Phone number: 307-875-8492
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Mailing Address
-- DIANE JANICKI R.P.T
PO BOX 1497
GREEN RIVER, WY 82935-1497
Phone number: 307-875-8492
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