Individual
REBECCA JO EDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ISC
Contact information
Practice address
1001 DESERT HILLS CIR APT 49, GILLETTE, WY 82716-6607
(307) 689-6459
Mailing address
1001 DESERT HILLS CIR APT 49, GILLETTE, WY 82716-6607
(307) 689-6459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
104790-753
WY
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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