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Tia Hampton

Community Health Worker in Laramie, WY. Individual provider (NPI-1).

NPI number1982105680
StatusActive
Last updated in NPPESFeb 27, 2018

Details

NPI
1982105680
Entity type
Individual (NPI-1)
Name
Tia Hampton
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2018
Last updated
Feb 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-745-8997

Mailing address

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-745-8997

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