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1760572630
TIA JEAN HANSULD (WELCH)
CASPER, WY
NPI
1760572630
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Former Name
TIA JEAN WELCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 9090.162)
Enumeration Date
2006-10-13
Last Update Date
2015-01-08
Business Address
Ms. TIA JEAN HANSULD (WELCH) FNP
680 E 18TH ST
CASPER, WY 82601-4703
Phone number: 307-259-6870
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Mailing Address
Ms. TIA JEAN HANSULD (WELCH) FNP
680 E 18TH ST
CASPER, WY 82601-1759
Phone number: 307-237-7569
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