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1336722859
LGBTQ TELEPSYCHIATRY
SHERIDAN, WY
NPI
1336722859
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Entity Type
Organization
Authorized Contact
JONATHAN SHAW
Owner
888-985-4287
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-05-03
Last Update Date
2021-05-03
Business Address
LGBTQ TELEPSYCHIATRY
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801-5777
Phone number: 888-985-4287
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Mailing Address
LGBTQ TELEPSYCHIATRY
1309 COFFEEN AVE STE 1200
SHERIDAN, WY 82801-5777
Phone number: 888-985-4287
Copy
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