Individual
MRS. TERRY ROXANNE QUILLINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN NURSE
Contact information
Practice address
145 ASPEN GROVE DRIVE W, EVANSTON, WY 82930-4773
(307) 789-9000
(307) 789-2233
Mailing address
145 ASPEN GROVE DR W, EVANSTON, WY 82930-4773
(307) 789-9000
(307) 789-2233
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
19591
WY
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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