JORDAN BISHOP

LARAMIE, WY
NPI1982028528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
-- JORDAN BISHOP
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
Mailing Address
-- JORDAN BISHOP
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997