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1346931342
MARY ELLEN HONEYCUTT
LANDER, WY
NPI
1346931342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A4586)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
MARY ELLEN HONEYCUTT PTA
760 CANYON ST APT 2
LANDER, WY 82520-3251
Phone number: 337-912-1249
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Mailing Address
MARY ELLEN HONEYCUTT PTA
PO BOX 567
LANDER, WY 82520-0567
Phone number: 337-912-1249
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