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1639347701
TANYA L TOM
CHEYENNE, WY
NPI
1639347701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WY 413)
Enumeration Date
2008-02-12
Last Update Date
2008-12-01
Business Address
-- TANYA L TOM PHD
507 E 18TH ST
CHEYENNE, WY 82001-4617
Phone number: 307-637-7906
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Mailing Address
-- TANYA L TOM PHD
2919 THOMES AVE
CHEYENNE, WY 82001-2734
Phone number: 307-638-2164
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