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1598134256
THEODORE WEBER SHOAF
JACKSON, WY
NPI
1598134256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-23
Last Update Date
2015-09-23
Business Address
THEODORE WEBER SHOAF MASTERS
3405 S WINDING TRAIL DR
JACKSON, WY 83001-9257
Phone number: 307-699-2685
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Mailing Address
THEODORE WEBER SHOAF MASTERS
3405 S WINDING TRAIL DR
JACKSON, WY 83001-9257
Phone number: 307-699-2685
Copy
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