Individual
PATRICIA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 E FOUR MILE RD, CHEYENNE, WY 82009-8753
(620) 877-0058
Mailing address
10300 E FOUR MILE RD, CHEYENNE, WY 82009-8753
(620) 877-0058
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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