Individual
ADINA O LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA PPC
Contact information
Practice address
2526 SEYMOUR AVE, CHEYENE, WY 82001
(307) 634-9653
(307) 638-8256
Mailing address
2526 SEYMOUR AVE, CHEYENE, WY 82001
(307) 634-9653
(307) 638-8256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
683
WY
Other
Enumeration date
09/12/2012
Last updated
01/02/2013
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