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Kerena Luann Jacquot

Case Manager/Care Coordinator in Gillette, WY. Individual provider (NPI-1).

NPI number1982198982
StatusActive
Last updated in NPPESJun 21, 2018

Details

NPI
1982198982
Entity type
Individual (NPI-1)
Name
Mrs. Kerena Luann Jacquot
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2018
Last updated
Jun 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

68 Five Finger Peaks Rd
Gillette, WY 82716-9196

Phone 307-660-2134

Mailing address

68 Five Finger Peaks Rd
Gillette, WY 82716-9196

Phone 307-660-2134

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