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1760075915
KATHY M LAND
SHERIDAN, WY
NPI
1760075915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WY LPN-45902)
Enumeration Date
2021-02-18
Last Update Date
2021-02-18
Business Address
KATHY M LAND LPN
1221 W 5TH ST
SHERIDAN, WY 82801-2701
Phone number: 307-674-4405
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Mailing Address
KATHY M LAND LPN
909 LONG DR STE C
SHERIDAN, WY 82801-3282
Phone number:
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