EMMALEE GRACE MOORE

LARAMIE, WY
NPI1700302718
Former NameEMMALEE PETTY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-08-21
Last Update Date2017-08-21
Business Address
EMMALEE GRACE MOORE
1965 POLK ST
LARAMIE, WY 82070-6101
Phone number: 307-703-0001
Mailing Address
EMMALEE GRACE MOORE
1965 POLK ST
LARAMIE, WY 82070-6101
Phone number:
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