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1396236519
CARL GRANDERSON
LARAMIE, WY
NPI
1396236519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
CARL GRANDERSON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
CARL GRANDERSON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Copy
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