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Individual

KYLA TROUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3734 ROAD 215, CHEYENNE, WY 82009-9400
(307) 214-4743
Mailing address
3734 ROAD 215, CHEYENNE, WY 82009-9400
(307) 214-4743

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
48676
WY

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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