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1447234695
CHRISTINE J CHRISTIANSEN
CHEYENNE, WY
NPI
1447234695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY 190)
Enumeration Date
2005-12-01
Last Update Date
2007-07-08
Business Address
-- CHRISTINE J CHRISTIANSEN LAT
764 HYDE MERRITT RD
CHEYENNE, WY 82009-9003
Phone number: 307-772-8756
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Mailing Address
-- CHRISTINE J CHRISTIANSEN LAT
764 HYDE MERRITT RD
CHEYENNE, WY 82009-9003
Phone number:
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