Kelly Chester Dubus

NPI 1780915314 - Community Health Worker - 172V00000X

NPI Details
NPI 1780915314
Gender Male
Enumeration Date 01/21/2010
Last Updated 01/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1263 N 15TH ST
LARAMIE WY, 82072-2343, US
Phone (307) 745-8915
Fax (307) 745-8761
Business Location
1263 N 15TH ST
LARAMIE WY, 82072-2343, US
Phone (307) 745-8915
Fax (307) 745-8761
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Kelly Chester Dubus NPI is 1780915314, taxonomy code is 172V00000X Kelly Chester Dubus physically located at 1263 N 15th St, Laramie WY, 82072-2343. NPI Number Kelly Chester Dubus has the Individual type.

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1780915314 NPI number is provided on an as is basis without warranty of any kind. 1780915314 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Chester Dubus are for informational purposes only.