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Individual

KARRIE LEE NIELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
350 CITY VIEW DR, SUITE 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Mailing address
350 CITY VIEW DR, SUITE 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/30/2013
Last updated
01/30/2013
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