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JILL RENEE BAUSERMAN B.S.

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1740665454

Individual Registrant:
 JILL RENEE BAUSERMAN B.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 719-384-5446  Fax: 719-384-5672

Contact information for business:
711 BARNES AVE  LA JUNTA, CO 81050-2138 US
Tel: 719-384-5446  Fax: 719-384-5672

Registration Information:
NPI: 1740665454
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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