NPI 1164727301

Chantall Marie Cherry

Practitioner Case Management Agency Gillette, WY

Practice location

Address: 400 S Kendrick Ave Suite 104c, Gillette, WY 82716-3848
Phone: (307) 685-7105
Fax: (307) 222-0614
Mailing address: PO Box 1642, Evanston, WY 82931-1642

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1164727301
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jan 2011
Record last updated: 10 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.