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1780162958
JARED M. WHITE BULL
RIVERTON, WY
NPI
1780162958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
JARED M. WHITE BULL
10269 HIGHWAY 789
RIVERTON, WY 82501-8829
Phone number: 307-857-9468
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Mailing Address
JARED M. WHITE BULL
PO BOX 1989
RIVERTON, WY 82501-0240
Phone number: 307-857-9468
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