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1184922007
JEFFERY LA VON WALKER
MOUNTAIN VIEW, WY
NPI
1184922007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-01
Last Update Date
2011-03-01
Business Address
Mr. JEFFERY LA VON WALKER
210 RIVERBEND DR.
MOUNTAIN VIEW, WY 82939
Phone number: 307-747-7134
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Mailing Address
Mr. JEFFERY LA VON WALKER
PO BOX 882
MOUNTAIN VIEW, WY 82939-0882
Phone number: 307-747-7134
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