Individual
DAN EDWARD LEIMBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
345 N WALSH DR, CASPER, WY 82609-1941
(307) 259-7991
Mailing address
345 N WALSH DR, CASPER, WY 82609-1941
(307) 259-7991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
03/22/2010
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