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Individual

JOHN ALVORD THAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
619 WEST 5TH STREET, 629, LUSK, WY 82225-0001
(307) 334-2224
Mailing address
619 WEST 5TH STREET, BOX 629, LUSK, WY 82225
(307) 334-3793
(307) 334-0126

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
WY

Other

Enumeration date
02/08/2023
Last updated
02/08/2023
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