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Jeffery Young

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

NPI number1679080766
StatusActive
Last updated in NPPESJan 10, 2018

Details

NPI
1679080766
Entity type
Individual (NPI-1)
Name
Jeffery Young
Sex
Male
Sole proprietor
No
Enumeration date
Jan 10, 2018
Last updated
Jan 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

4514 Laramie St
Cheyenne, WY 82001-2154

Phone 307-638-8182

Mailing address

510 W 29th St
Cheyenne, WY 82001-2760

Phone 307-426-4728

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