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1881960854
LISA FAULKNER
EVANSTON, WY
NPI
1881960854
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Entity Type
Organization
Authorized Contact
LISA FAULKNER
Daily Living Assistant
307-789-7915
Organization Subpart ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-03-23
Last Update Date
2012-04-18
Business Address
LISA FAULKNER
350 CITY VIEW DR SUITE 302
EVANSTON, WY 82930-5327
Phone number: 307-789-7915
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Mailing Address
LISA FAULKNER
350 CITY VIEW DR SUITE 302
EVANSTON, WY 82930-5327
Phone number: 307-789-7915
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