Organization
ASPEN FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY J JAIRELL DC (PRESIDENT)
(307) 760-6863
Entity
Organization
Contact information
Practice address
312 STEELE ST, LARAMIE, WY 82070-4454
(307) 760-6863
Mailing address
312 STEELE ST, LARAMIE, WY 82070-4454
(307) 760-6863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
711
WY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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