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Individual

RUTHANNE GRAJEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 441-1377
Mailing address
2521 E 15TH ST, CASPER, WY 82609-4126
(307) 441-1377

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
WY

Other

Enumeration date
04/28/2019
Last updated
11/13/2025
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