Individual
MS. JEANETTE MARIE COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
803 S 3RD ST, LARAMIE, WY 82070-4419
(307) 721-9527
Mailing address
803 S 3RD ST, LARAMIE, WY 82070-4419
(307) 721-9527
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-943
WY
Other
Enumeration date
11/02/2006
Last updated
11/15/2007
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