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Individual

MRS. HEATHER MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1122 LOGAN AVE, CHEYENNE, WY 82001-5216
(307) 632-3525
(307) 632-2275
Mailing address
4205 E 14TH ST, CHEYENNE, WY 82001-6414
(307) 214-0710

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
720
WY

Other

Enumeration date
04/03/2012
Last updated
10/16/2012
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