Individual
JOHNNY NEAL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
(307) 686-2121
Mailing address
905 NORTH GURLEY, GILLETTE, WY 82716-2109
(307) 686-0669
(307) 686-2121
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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