Individual
DEVIN RAE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-5095
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-5095
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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