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Mr. JAMES ALLAN HAVENS -- RN

Individual Provider (NPI-1) Active

Registered Nurse, Community Health

Provider Information

NPI Number
1366562258
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
29 BLACKCOAL DRIVE, FORT WASHAKIE, WY, 82514
Phone
(307) 332-3521

Specialties & Taxonomies

Registered Nurse, Community Health Primary License: WY #9871

All Addresses

MAILING

860 CLINCHARD ST

LANDER, WY, 825202021

(307) 332-3521

LOCATION

29 BLACKCOAL DRIVE

FORT WASHAKIE, WY, 82514

(307) 332-3521