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1700624905
JORDAN LORENZ
CHEYENNE, WY
NPI
1700624905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: IL 150013510)
Enumeration Date
2024-07-20
Last Update Date
2024-07-20
Business Address
JORDAN LORENZ
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7750
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Mailing Address
JORDAN LORENZ
2360 E PERSHING BLVD
CHEYENNE, WY 82001-5356
Phone number: 307-778-7750
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