LISA MARIE WALL

SHERIDAN, WY
NPI1801136122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MT  LPN30652)
Enumeration Date2013-02-23
Last Update Date2013-02-23
Business Address
Ms. LISA MARIE WALL LPN
659 E 5TH ST
SHERIDAN, WY 82801-3101
Phone number: 307-751-9624
Mailing Address
Ms. LISA MARIE WALL LPN
659 E 5TH ST
SHERIDAN, WY 82801-3101
Phone number: 307-751-9624
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