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Individual

JOHN R SINK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1700 WESTLAND RD, CHEYENNE, WY 82001-3322
(307) 287-7787
(307) 256-0203
Mailing address
7418 LEGACY PKWY, CHEYENNE, WY 82009-8350
(307) 287-7787
(307) 256-0203

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
361
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119968400
WY
01
313867
BLUE CROSS & BLUE SHIELD
WY
Enumeration date
11/07/2006
Last updated
08/11/2015
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