WADE MATTHEW BRENNAN

DOUGLAS, WY
NPI1780962001
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2011-08-03
Last Update Date2011-08-03
Business Address
-- WADE MATTHEW BRENNAN
1841 MADORA AVE
DOUGLAS, WY 82633-3057
Phone number: 307-358-2846
Mailing Address
-- WADE MATTHEW BRENNAN
1841 MADORA AVE
DOUGLAS, WY 82633-3057
Phone number:
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