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1497367445
LARISSA ELISE IRWIN
CHEYENNE, WY
NPI
1497367445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-08-20
Last Update Date
2020-08-20
Business Address
LARISSA ELISE IRWIN
3120 OLD FAITHFUL RD STE 100
CHEYENNE, WY 82001-5890
Phone number: 307-221-2937
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Mailing Address
LARISSA ELISE IRWIN
3120 OLD FAITHFUL RD STE 100
CHEYENNE, WY 82001-5890
Phone number: 307-221-2937
Copy
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