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1831555689
SUSAN FORTON
LANDER, WY
NPI
1831555689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-10
Last Update Date
2016-01-10
Business Address
-- SUSAN FORTON
350 CANYON ST
LANDER, WY 82520-3330
Phone number: 307-349-4259
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Mailing Address
-- SUSAN FORTON
350 CANYON ST
LANDER, WY 82520-3330
Phone number: 307-349-4259
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