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1891009882
HEATHER VANCE JACKSON
CHEYENNE, WY
NPI
1891009882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
Mrs. HEATHER VANCE JACKSON M.S.W.
2600 E 18TH ST
CHEYENNE, WY 82001-5511
Phone number: 307-633-7293
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Mailing Address
Mrs. HEATHER VANCE JACKSON M.S.W.
1312 WEATHERBY DR
CHEYENNE, WY 82007-9113
Phone number: 307-633-7293
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