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1487694576
JAYLENE ELIZABETH DAUGHERTY
SHERIDAN, WY
NPI
1487694576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WY 810801)
Enumeration Date
2006-06-07
Last Update Date
2007-07-08
Business Address
-- JAYLENE ELIZABETH DAUGHERTY RD
1898 FORT RD BUILDING 71 ROOM 246
SHERIDAN, WY 82801-8320
Phone number: 307-672-3473
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Mailing Address
-- JAYLENE ELIZABETH DAUGHERTY RD
1898 FORT RD BUILDING 71 ROOM 246
SHERIDAN, WY 82801-8320
Phone number: 307-672-3473
Copy
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