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1568716397
BRYAN MARTIN
LARAMIE, WY
NPI
1568716397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2012-10-31
Last Update Date
2019-08-27
Business Address
BRYAN MARTIN
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
BRYAN MARTIN
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Copy
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