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Mrs. MIRANDA ELIZABETH BLAJSZCZAK -- RN

Individual Provider (NPI-1) Active

Day Training, Developmentally Disabled Services

Provider Information

NPI Number
1679893655
Provider Type
Individual Provider (NPI-1)
Credentials
RN
Status
Active

Contact & Location

Address
2340 S COFFMAN AVE, CASPER, WY, 826043521
Phone
(307) 265-6698

Specialties & Taxonomies

Registered Nurse, Psych/Mental Health License: WY #22824
Day Training, Developmentally Disabled Services Primary

All Addresses

MAILING

2340 S COFFMAN AVE

CASPER, WY, 826043521

(307) 265-6698

LOCATION

2340 S COFFMAN AVE

CASPER, WY, 826043521

(307) 265-6698