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Individual

GAIL FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPC

Contact information

Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(307) 745-8915
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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