Individual
ROBERT FRANK JOHNSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPC-735
Contact information
Practice address
1914 THOMES AVE, CHEYENNE, WY 82001-3527
(307) 631-9931
Mailing address
1914 THOMES AVE, CHEYENNE, WY 82001-3527
(307) 631-9931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-735
WY
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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