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MR. LEE MATTHEW INGALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3786
(307) 675-3935
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3786
(307) 675-3935

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
17246
WY

Other

Enumeration date
05/06/2013
Last updated
05/06/2013
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