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1316530165
BLAKE SZYMCZAK
LARAMIE, WY
NPI
1316530165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
BLAKE SZYMCZAK
1263 N 15TH ST
LARAMIE, WY 82072-2343
Phone number: 844-895-7325
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Mailing Address
BLAKE SZYMCZAK
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-426-4728
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