Individual
SHAWN RAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1501
Mailing address
970 W BROADWAY, JACKSON, WY 83001-9475
(307) 921-9558
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
WY
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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