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1548909153
CLEAN CLINIC WYOMING
CHEYENNE, WY
NPI
1548909153
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Entity Type
Organization
Authorized Contact
LORENCE A HARMER
CEO
801-946-4045
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine Addiction Medicine
Enumeration Date
2022-06-01
Last Update Date
2024-02-17
Business Address
CLEAN CLINIC WYOMING
1918 THOMES AVE
CHEYENNE, WY 82001-3527
Phone number: 928-242-9929
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Mailing Address
CLEAN CLINIC WYOMING
63 E 11400 S # 275
SANDY, UT 84070-6705
Phone number: 801-946-4045
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