Individual
JON LANDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 MORGAN AVE, ROCK SPRINGS, WY 82901-5229
(307) 362-9035
Mailing address
431 MORGAN AVE, ROCK SPRINGS, WY 82901-5229
(307) 362-9035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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