Individual
MS. KESHIA ANN IORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3077 COUNTY RD. 241, MOUNTAIN VIEW, WY 82939-0966
(307) 780-7785
Mailing address
PO BOX 966, MOUNTAIN VIEW, WY 82939-0966
(307) 780-7785
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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