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Organization
LESLIE KEELER
Active
Organization
LESLIE KEELER
Active
Other names
Celinesfarm
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LESLIE A KEELER OWNER (PRESIDENT)
(307) 472-1919
Entity
Organization
Contact information
Practice address
630 10 MILE ROAD, CASPER, WY 82604
(307) 262-8084
(307) 472-1919
Mailing address
630 10 MILE ROAD, CASPER, WY 82604
(307) 262-8084
(307) 472-1919
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119001600
—
WY
Enumeration date
04/09/2007
Last updated
10/23/2015
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