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1518208982
ALISA MARTINEZ
CHEYENNE, WY
NPI
1518208982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY SP-550)
Enumeration Date
2013-03-11
Last Update Date
2015-01-06
Business Address
-- ALISA MARTINEZ
1113 HEREFORD RANCH RD
CHEYENNE, WY 82007-9602
Phone number: 307-760-4260
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Mailing Address
-- ALISA MARTINEZ
1113 HEREFORD RANCH RD
CHEYENNE, WY 82007-9602
Phone number:
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