REGINA GALE ANTELOPE

RIVERTON, WY
NPI1457713885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  C.A.P. 033)
Enumeration Date2016-03-24
Last Update Date2016-03-24
Business Address
-- REGINA GALE ANTELOPE AAA, C.A.P.
10269 HWY 789
RIVERTON, WY 82501
Phone number: 307-857-9468
Mailing Address
-- REGINA GALE ANTELOPE AAA, C.A.P.
PO BOX 1989
RIVERTON, WY 82501-0240
Phone number: 307-857-9468
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