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Individual

TAWNYA MARIE HAWBAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1851 BIG HORN AVE, SHERIDAN, WY 82801-5913
(307) 674-4416
Mailing address
473 N CARRINGTON AVE, BUFFALO, WY 82834-1617
(307) 684-7278

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
21213
WY

Other

Enumeration date
07/20/2007
Last updated
07/20/2007
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