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1407547086
TY EVERETTE JOHNSON
TORRINGTON, WY
NPI
1407547086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
TY EVERETTE JOHNSON
2802 W C ST
TORRINGTON, WY 82240-1834
Phone number: 307-532-0134
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Mailing Address
TY EVERETTE JOHNSON
1833 E L ST
TORRINGTON, WY 82240-3124
Phone number: 307-575-2445
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