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-- ROGER E BRAZELTON --

Individual Provider (NPI-1) Active

Community Health Worker

Provider Information

NPI Number
1386083103
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2713 COUGAR AVE, CODY, WY, 824148400
Phone
(307) 587-5112
Fax
(307) 587-5446

Specialties & Taxonomies

Community Health Worker Primary

All Addresses

MAILING

2538 BIG HORN AVE

CODY, WY, 824149299

(307) 587-2197

LOCATION

2713 COUGAR AVE

CODY, WY, 824148400

(307) 587-5112