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William Paul Madison

Community Health Worker in Laramie, WY. Individual provider (NPI-1).

NPI number1154700524
StatusActive
Last updated in NPPESMay 19, 2015

Details

NPI
1154700524
Entity type
Individual (NPI-1)
Name
William Paul Madison
Sex
Male
Sole proprietor
No
Enumeration date
May 19, 2015
Last updated
May 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-745-8997 · Fax 307-742-6146

Mailing address

4989 N 3rd St
Laramie, WY 82072-9548

Phone 307-745-8997 · Fax 307-742-6146

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