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1821052333
LADELL MERRITT
POWELL, WY
NPI
1821052333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY PT-956)
Enumeration Date
2006-04-12
Last Update Date
2007-07-08
Business Address
Mr. LADELL MERRITT PT
777 AVENUE H
POWELL, WY 82435-2260
Phone number: 307-754-1235
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Mailing Address
Mr. LADELL MERRITT PT
PO BOX 1790
DOUGLAS, WY 82633-1790
Phone number: 307-358-9464
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