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1760609937
BIG HORN BASIS MENTAL HEALTH GROUP
POWELL, WY
NPI
1760609937
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Entity Type
Organization
Authorized Contact
GIBSON B CONDIE
President
307-754-3860
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WY #SP04)
Enumeration Date
2007-04-19
Last Update Date
2020-08-22
Business Address
BIG HORN BASIS MENTAL HEALTH GROUP
1054 VALI RD
POWELL, WY 82435-9259
Phone number: 307-754-3860
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Mailing Address
BIG HORN BASIS MENTAL HEALTH GROUP
1054 VALI RD
POWELL, WY 82435-9259
Phone number: 307-754-3860
Copy
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