Individual
MARYJANE NA GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 SHENANDOAH ST, CHEYENNE, WY 82001-8536
(307) 369-9972
Mailing address
3500 SHENANDOAH ST, CHEYENNE, WY 82001-8536
(307) 369-9972
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
111569-497
WY
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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