Individual
DUSTIN CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 E 19TH ST, CHEYENNE, WY 82001-4928
(307) 369-2907
Mailing address
1611 E 19TH ST, CHEYENNE, WY 82001-4928
(307) 369-2907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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