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Individual

MRS. KERRI MICHEL WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
209 E CENTER ST, SUITE A, DOUGLAS, WY 82633-2544
(307) 359-1115
Mailing address
602 S 6TH ST, DOUGLAS, WY 82633-2640
(307) 359-1115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
02/16/2009
Last updated
02/16/2009
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