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1588806855
DEANA LIN GUDMUNDSEN
FORT WASHAKIE, WY
NPI
1588806855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WY COTA 577)
Enumeration Date
2009-04-01
Last Update Date
2009-04-01
Business Address
-- DEANA LIN GUDMUNDSEN COTA/L
4 NORTH FORK ROAD
FORT WASHAKIE, WY 82514
Phone number: 307-332-6902
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Mailing Address
-- DEANA LIN GUDMUNDSEN COTA/L
860 WASHAKIE ST
LANDER, WY 82520-2746
Phone number: 307-332-2868
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