Individual
MR. JOHN WAYNE SHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1898 FORT ROAD, SHERIDAN, WY 82801
(307) 672-1661
Mailing address
1898 FORT ROAD, SHERIDAN, WY 82801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7923
WY
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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