Jason Custer

NPI #1093046633 in Laramie, Wyoming

Provider Information

NPI Number
1093046633
Entity Type
Individual
Name
Jason Custer
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 21, 2010
Last Updated
Jan 21, 2010

Practice Location

Address
1263 N 15TH ST
State
Wyoming
ZIP Code
82072-2343
Phone
(307) 745-8915

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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