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1568615219
KELLY E. LIEB
SHERIDAN, WY
NPI
1568615219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WY 500)
Enumeration Date
2008-10-28
Last Update Date
2021-05-24
Business Address
Mrs. KELLY E. LIEB PA-C
1401 W 5TH ST
SHERIDAN, WY 82801-2705
Phone number: 307-672-1073
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Mailing Address
Mrs. KELLY E. LIEB PA-C
1401 W 5TH ST
SHERIDAN, WY 82801-2705
Phone number: 307-672-1073
Copy
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