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1538231121
KYLAN BROOK JORGENSEN
LA GRANDE, OR
NPI
1538231121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR AT-AT-1000722)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Mrs. KYLAN BROOK JORGENSEN MS, ATC
2519 COVE AVE
LA GRANDE, OR 97850-3910
Phone number: 541-962-0830
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Mailing Address
Mrs. KYLAN BROOK JORGENSEN MS, ATC
88 RAPID RUN LOOP
LA GRANDE, OR 97850-1847
Phone number: 541-963-0233
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