IAN WALLACE

SHERIDAN, WY
NPI1770011124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-05-30
Last Update Date2017-06-27
Business Address
IAN WALLACE
151 W BRUNDAGE ST
SHERIDAN, WY 82801-4217
Phone number: 307-674-1668
Mailing Address
IAN WALLACE
151 W BRUNDAGE ST
SHERIDAN, WY 82801-4217
Phone number:
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