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Stacey Byrum

NPI 1477830800 · on the registry since 2011 · sole proprietor

Practice

Address
1000 Camel Dr
Gillette, WY 82716
Phone
(307) 687-0369

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming