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1982028528
JORDAN BISHOP
LARAMIE, WY
NPI
1982028528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-02-18
Last Update Date
2014-02-18
Business Address
-- JORDAN BISHOP
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
-- JORDAN BISHOP
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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