Individual
MRS. AUDRA STUMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 ARCTIC AVE, GILLETTE, WY 82718-4171
(307) 670-2181
Mailing address
10 ARCTIC AVE, GILLETTE, WY 82718-4171
(307) 670-2181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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