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1790423069
MELISSA LONG
SHERIDAN, WY
NPI
1790423069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2022-05-25
Last Update Date
2022-09-08
Business Address
MELISSA LONG
404 E WORKS ST
SHERIDAN, WY 82801-4338
Phone number: 307-763-8558
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Mailing Address
MELISSA LONG
51 COFFEEN AVE # 101-107
SHERIDAN, WY 82801-4872
Phone number: 307-763-8558
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