Organization
JARRED M GREEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRED M GREEN (OWNER)
(307) 277-3158
Entity
Organization
Contact information
Practice address
4341 BOBCAT, CASPER, WY 82604-4548
(307) 277-3158
Mailing address
4341 BOBCAT, CASPER, WY 82604-4548
(307) 277-3158
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/02/2013
Last updated
03/02/2013
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