Individual
JASON CHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 E 5TH AVE, CHEYENNE, WY 82001-1418
(307) 256-8029
Mailing address
212 E 5TH AVE, CHEYENNE, WY 82001-1418
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/28/2015
Last updated
03/28/2015
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