JACKIE ROBERTS

CHEYENNE, WY
NPI1174678189
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WY  5526)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
-- JACKIE ROBERTS LPN
300 E PROSSER RD LOT 11
CHEYENNE, WY 82007-3128
Phone number: 307-635-3972
Mailing Address
-- JACKIE ROBERTS LPN
300 E PROSSER RD LOT 11
CHEYENNE, WY 82007-3128
Phone number: 307-635-3972
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