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1306712799
PAUL AVERETT HERON
POWELL, WY
NPI
1306712799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WY 197)
Enumeration Date
2025-10-14
Last Update Date
2025-10-14
Business Address
PAUL AVERETT HERON
125 S DIVISION ST
POWELL, WY 82435-2409
Phone number: 307-754-7970
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Mailing Address
PAUL AVERETT HERON
PO BOX 847
POWELL, WY 82435-0847
Phone number: 307-754-7970
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