Individual
SABRA MAE KJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E LAUREL ST, GILLETTE, WY 82718-5875
(307) 363-3535
Mailing address
203 E LAUREL ST, GILLETTE, WY 82718-5875
(307) 363-3535
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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