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1699475772
CHRISTINE LARAE GORDON
CASPER, WY
NPI
1699475772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WY PTA-0537)
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
Mrs. CHRISTINE LARAE GORDON PTA
60 MAGNOLIA ST
CASPER, WY 82604-4035
Phone number: 307-234-9381
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Mailing Address
Mrs. CHRISTINE LARAE GORDON PTA
12105 ZERO RD
CASPER, WY 82604-9541
Phone number: 307-277-2534
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