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1952679003
KAREN BETH COLCLOUGH
RIVERTON, WY
NPI
1952679003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WY 171MOOOOOX)
Enumeration Date
2011-12-05
Last Update Date
2012-03-06
Business Address
Ms. KAREN BETH COLCLOUGH
2441 PECK AVE.
RIVERTON, WY 82501
Phone number: 307-733-7637
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Mailing Address
Ms. KAREN BETH COLCLOUGH
PO BOX 4259 140 EAST BROADWAY
JACKSON, WY 83001-4259
Phone number: 307-733-7637
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