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1770898140
KELLY LYNNE PRETTY WEASEL
FORT WASHAKIE, WY
NPI
1770898140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP0904X Clinic/Center, Public Health, Federal
Enumeration Date
2010-08-10
Last Update Date
2010-08-10
Business Address
Miss KELLY LYNNE PRETTY WEASEL RN
29 BLACKCOLE DR
FORT WASHAKIE, WY 82514
Phone number: 307-332-7300
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Mailing Address
Miss KELLY LYNNE PRETTY WEASEL RN
PO BOX 128
FORT WASHAKIE, WY 82514-0128
Phone number: 307-332-7300
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