EMMANUEL PATTISHALL-BAKER

LARAMIE, WY
NPI1790259398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
EMMANUEL PATTISHALL-BAKER
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
EMMANUEL PATTISHALL-BAKER
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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