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1982825840
JOHN A WIEDERSPAHN
CHEYENNE, WY
NPI
1982825840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WY CMHW-28)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Mr. JOHN A WIEDERSPAHN CMHW
1901 CENTRAL AVE
CHEYENNE, WY 82001-3759
Phone number: 307-638-4092
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Mailing Address
Mr. JOHN A WIEDERSPAHN CMHW
1121 LUCKY CT
CHEYENNE, WY 82001-6100
Phone number: 307-286-1733
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