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Individual

CHARLYN BLUEMEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 MT. VIEW DR., LYMAN, WY 82937-0908
(307) 786-4556
Mailing address
1500 MT. VIEW DR., LYMAN, WY 82937-0908
(307) 786-4556

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
WY

Other

Enumeration date
09/23/2009
Last updated
09/23/2009
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