Individual
JUSTIN AXNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 EASTLAND CT APT C, CHEYENNE, WY 82001-6079
(307) 421-2339
Mailing address
5725 EASTLAND CT APT C, CHEYENNE, WY 82001-6079
(307) 421-2339
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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