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1437770005
TERESA M FORTON
LANDER, WY
NPI
1437770005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WY 8021)
Enumeration Date
2020-05-05
Last Update Date
2020-05-05
Business Address
TERESA M FORTON LPN
748 MAIN ST
LANDER, WY 82520-3036
Phone number: 307-332-2231
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Mailing Address
TERESA M FORTON LPN
748 MAIN ST
LANDER, WY 82520-3036
Phone number: 307-332-2231
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