RICHARD JOHNSON

CHEYENNE, WY
NPI1962145730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: WY  127)
Additional Taxonomies172V00000X Community Health Worker
Enumeration Date2022-04-19
Last Update Date2023-06-12
Business Address
RICHARD JOHNSON
4514 LARAMIE ST
CHEYENNE, WY 82001-2154
Phone number: 307-638-8182
Mailing Address
RICHARD JOHNSON
510 W 29TH ST
CHEYENNE, WY 82001-2760
Phone number: 307-426-4728
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