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1578503850
SANDRA THERESA LERCH
JACKSON, WY
NPI
1578503850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: WY WY180540164)
Enumeration Date
2006-06-07
Last Update Date
2016-10-31
Business Address
-- SANDRA THERESA LERCH C FNP CNM
320 E BROADWAY STE 1C
JACKSON, WY 83001
Phone number: 307-733-4585
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Mailing Address
-- SANDRA THERESA LERCH C FNP CNM
PO BOX 9487
JACKSON, WY 83002-9487
Phone number: 307-733-4585
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