Korina Dawn Bartlett CPS

NPI 1780908046 - Community Health Worker - 172V00000X

NPI Details
NPI 1780908046
Gender Female
Enumeration Date 03/16/2010
Last Updated 03/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1701 W 5TH ST
SUITE C
SHERIDAN WY, 82801-2748, US
Phone (307) 674-5534
Fax
Business Location
1701 W 5TH
SUITE C
SHERIDAN WY, 82801, US
Phone
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Korina Dawn Bartlett CPS NPI is 1780908046, taxonomy code is 172V00000X Korina Dawn Bartlett CPS physically located at 1701 W 5th St, Sheridan WY, 82801-2748. NPI Number Korina Dawn Bartlett CPS has the Individual type.

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1780908046 NPI number is provided on an as is basis without warranty of any kind. 1780908046 is maintained by the National Plan & Provider Enumeration System. The contents of Korina Dawn Bartlett CPS are for informational purposes only.