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1629181672
AMY JO BRACKEN
CHEYENNE, WY
NPI
1629181672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WY sp-371)
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
Mrs. AMY JO BRACKEN M.S., CCC-SLP
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7554
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Mailing Address
Mrs. AMY JO BRACKEN M.S., CCC-SLP
4923 PHOENIX DR
CHEYENNE, WY 82001-6925
Phone number: 307-778-7554
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