Individual
ARLENE J. GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E. NORTH FORK ROAD, CENTENNIAL, WY 82055-0234
(307) 745-9322
(307) 745-9332
Mailing address
160 E. NORTH FORK ROAD, P.O. BOX 234, CENTENNIAL, WY 82055-0234
(307) 745-9322
(307) 745-9332
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT-234
WY
Other
Enumeration date
02/21/2007
Last updated
07/09/2007
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