Kyle John Tase

NPI #1508140682 in Evanston, Wyoming

Provider Information

NPI Number
1508140682
Entity Type
Individual
Name
Kyle John Tase
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Oct 6, 2011
Last Updated
Oct 6, 2011

Practice Location

Address
50 ALLEGIANCE CIR
State
Wyoming
ZIP Code
82930-3804
Phone
(307) 789-3710

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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