Individual
MRS. LAURA LEE SILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1432 RUMSEY AVE, CODY, WY 82414-3715
(307) 587-4015
Mailing address
519 AVENUE E, POWELL, WY 82435-2411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30863
WY
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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