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1588902555
SHANE GEORGE SEARS
SHERIDAN, WY
NPI
1588902555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-01-24
Last Update Date
2015-10-19
Business Address
Mr. SHANE GEORGE SEARS
370 E LOUCKS ST
SHERIDAN, WY 82801-4314
Phone number: 307-751-0723
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Mailing Address
Mr. SHANE GEORGE SEARS
370 E LOUCKS ST
SHERIDAN, WY 82801-4314
Phone number: 307-751-0723
Copy
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