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Individual

JASON R. HAYCOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
225 W OWEN ST., LYMAN, WY 82937
(307) 787-6400
Mailing address
PO BOX 1194, LYMAN, WY 82937-1194
(307) 787-6400

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
611
WY

Other

Enumeration date
01/14/2008
Last updated
01/29/2008
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