Individual
KATELYNN DONNA BLAKEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E 4TH ST STE 9, GILLETTE, WY 82716-4061
(307) 282-0340
Mailing address
532 OREGON AVE APT 2, GILLETTE, WY 82718-7575
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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