SHEA DONAVON BATES

TORRINGTON, WY
NPI1831684695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: WY  1528313616)
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
Mr. SHEA DONAVON BATES
117 W 22ND AVE
TORRINGTON, WY 82240-2301
Phone number: 307-532-2931
Mailing Address
Mr. SHEA DONAVON BATES
117 W 22ND AVE
TORRINGTON, WY 82240-2301
Phone number: 307-532-2931
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