Individual
MR. DONALD LEE MOGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1454 1/2 N 7TH ST, LARAMIE, WY 82072-2115
(307) 760-3425
Mailing address
1454 1/2 N 7TH ST, LARAMIE, WY 82072-2115
(307) 760-3425
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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