Individual
JUNE L BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 SOUTH ST, WHEATLAND, WY 82201-2949
(970) 590-3640
Mailing address
281 BELLIS RD, WHEATLAND, WY 82201-8945
(970) 590-3640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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