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1376896092
VICTORIA R. WALLACE BATES
TETON VILLAGE, WY
NPI
1376896092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP-126)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
Mrs. VICTORIA R. WALLACE BATES MS-CCC/SLP
3850 N. WILDERNESS DR.
TETON VILLAGE, WY 83025
Phone number: 307-733-8210
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Mailing Address
Mrs. VICTORIA R. WALLACE BATES MS-CCC/SLP
P.O. BOX 240
WILSON, WY 83014
Phone number: 307-733-8210
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