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Organization

WYOLABS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNI STAFFORD (OWNER)
(307) 299-9170
Entity
Organization

Contact information

Practice address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 299-9170
(307) 670-9193
Mailing address
1211 S DOUGLAS HWY STE 100, GILLETTE, WY 82716-4982
(307) 299-9170
(307) 670-9193

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
01/05/2022
Last updated
01/05/2022
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