ROSEVELT JOSEPH FLUELLEN

CHEYENNE, WY
NPI1609003946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
(Licence: ND  1042)
Enumeration Date2009-06-14
Last Update Date2009-06-14
Business Address
MR. ROSEVELT JOSEPH FLUELLEN LSW
4413 E 8TH ST
CHEYENNE, WY 82001-6832
Phone number: 218-280-2988
Mailing Address
MR. ROSEVELT JOSEPH FLUELLEN LSW
4413 E 8TH ST
CHEYENNE, WY 82001-6832
Phone number: 218-280-2988
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