STACEY BYRUM

GILLETTE, WY
NPI1477830800
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY  008)
Enumeration Date2011-11-14
Last Update Date2011-11-14
Business Address
-- STACEY BYRUM
1000 CAMEL DR
GILLETTE, WY 82716-4950
Phone number: 307-687-0369
Mailing Address
-- STACEY BYRUM
2907 SILVER AVE
GILLETTE, WY 82716-1601
Phone number: 307-686-7634
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