Individual
MALARY MAUDE COTNOIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
419 S WASHINGTON ST STE 101, CASPER, WY 82601-2951
(307) 265-1620
Mailing address
419 S WASHINGTON ST STE 101, CASPER, WY 82601-2951
(307) 265-1620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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