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1669863650
MARK HOUSER
JACKSON, WY
NPI
1669863650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- MARK HOUSER
640 E BROADWAY AVE
JACKSON, WY 83001-8642
Phone number: 307-733-2046
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Mailing Address
-- MARK HOUSER
PO BOX 1868
JACKSON, WY 83001-1868
Phone number: 307-733-2046
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