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Individual

TERRENCE J. DINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
253 N 3RD ST, LARAMIE, WY 82072-3005
(307) 742-9378
(307) 742-9379
Mailing address
253 N 3RD ST, LARAMIE, WY 82072-3005
(307) 742-9378
(307) 742-9379

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
543
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
306984
BCBS PIN#
WY
01
35004-0178
RAILROAD MEDICARE#
WY
01
83-0319184
TAX ID #
WY
Enumeration date
06/08/2007
Last updated
03/17/2008
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