Individual
LEONARDO URIBE-BALDIVIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
619 E BRADLEY ST, LARAMIE, WY 82072-3223
(307) 399-7982
Mailing address
619 E BRADLEY ST, LARAMIE, WY 82072-3223
(307) 399-7982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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