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1912151077
TRENA PRIMAVERA
LARAMIE, WY
NPI
1912151077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WY OT625)
Enumeration Date
2008-11-14
Last Update Date
2008-11-14
Business Address
MS. TRENA PRIMAVERA
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
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Mailing Address
MS. TRENA PRIMAVERA
250 CARROLL AVE
CHEYENNE, WY 82009-4727
Phone number: 307-630-7368
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