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1407102585
KELLY CARPENTER
RIVERTON, WY
NPI
1407102585
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Former Name
KELLY DUNN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY PTA-0756)
Enumeration Date
2012-07-26
Last Update Date
2012-07-26
Business Address
Mrs. KELLY CARPENTER
2002 W SUNSET DR SUITE 1
RIVERTON, WY 82501-2283
Phone number: 307-856-7021
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Mailing Address
Mrs. KELLY CARPENTER
2002 W SUNSET DR SUITE 1
RIVERTON, WY 82501-2283
Phone number: 307-856-7021
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