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1891809901
COLLEEN R TYSON
CHEYENNE, WY
NPI
1891809901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WY 11323.1067)
Enumeration Date
2006-08-18
Last Update Date
2010-10-21
Business Address
-- COLLEEN R TYSON FNP
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7316
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Mailing Address
-- COLLEEN R TYSON FNP
2157 COUNTY ROAD 220
CHEYENNE, WY 82009-9197
Phone number: 307-630-5884
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