LEXIS AUTUMN WALLACE

CHEYENNE, WY
NPI1689265688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2021-02-01
Last Update Date2021-02-01
Business Address
LEXIS AUTUMN WALLACE
3120 OLD FAITHFUL RD STE 100
CHEYENNE, WY 82001-5890
Phone number: 307-221-2937
Mailing Address
LEXIS AUTUMN WALLACE
307 WESTERN HILLS BLVD APT B
CHEYENNE, WY 82009-3441
Phone number: 307-365-8505
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