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Individual

MRS. HANNAH MAE IMBROGNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFOM

Contact information

Practice address
3001 HENDERSON DR, SUITE B, CHEYANNE, WY 82001
(307) 638-0900
(307) 638-0908
Mailing address
3001 HENDERSON DR, SUITE B, CHEYANNE, WY 82001
(307) 638-0900
(307) 638-0908

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CFOM0322
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
314246
BC & BS OF WY
WY
Enumeration date
08/01/2006
Last updated
07/08/2007
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