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1912503491
SHAMAINE MANGRAM
CHEYENNE, WY
NPI
1912503491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2020-12-09
Last Update Date
2021-01-08
Business Address
Ms. SHAMAINE MANGRAM
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-426-4797
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Mailing Address
Ms. SHAMAINE MANGRAM
4025 RAWLINS ST
CHEYENNE, WY 82001-1900
Phone number: 307-426-4797
Copy
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