Northeast Wyoming Boces | |
410 N Miller Ave Gillette WY 82716-2929 | |
(307) 682-0231 | |
Not Available |
Full Name | Northeast Wyoming Boces |
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Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
Location | 410 N Miller Ave, Gillette, Wyoming |
Authorized Official Name and Position | Kelly Tonn (PRINCIPAL) |
Authorized Official Contact | 3076860231 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Wyoming Boces 410 N Miller Ave Gillette WY 82716-2929 Ph: (307) 682-0231 | Northeast Wyoming Boces 410 N Miller Ave Gillette WY 82716-2929 Ph: (307) 682-0231 |
NPI Number | 1275834467 |
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Provider Enumeration Date | 11/04/2010 |
Last Update Date | 11/04/2010 |
Identifier | Type | State | Issuer |
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1275834467 | NPI | - | NPPES |
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