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Individual

EVELYN JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
#24 GREAT PLAINS ROAD, ARAPAHOE, WY 82510
(307) 856-0470
(307) 857-4383
Mailing address
P.O. BOX 190, ST. STEPHENS, WY 82524
(307) 856-0470
(307) 857-4383

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/14/2016
Last updated
02/22/2018
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