Individual
JENEIL BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 W POISON SPIDER RD, CASPER, WY 82604-9507
(307) 277-7352
Mailing address
8700 W POISON SPIDER RD, CASPER, WY 82604-9507
(307) 277-7352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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