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1497147615
PENNIE ROUSSIN
EVANSTON, WY
NPI
1497147615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
PENNIE ROUSSIN
1575 STATE HIGHWAY 150 S SUITE J
EVANSTON, WY 82930-5349
Phone number: 307-789-7915
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Mailing Address
PENNIE ROUSSIN
1575 STATE HIGHWAY 150 S SUITE J
EVANSTON, WY 82930-5349
Phone number:
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