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1619369485
SHANAE GRANT
LARAMIE, WY
NPI
1619369485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-03-03
Last Update Date
2015-03-03
Business Address
Mrs. SHANAE GRANT
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
Mrs. SHANAE GRANT
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Copy
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