KYLAN BROOK JORGENSEN

LA GRANDE, OR
NPI1538231121
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR  AT-AT-1000722)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Mrs. KYLAN BROOK JORGENSEN MS, ATC
2519 COVE AVE
LA GRANDE, OR 97850-3910
Phone number: 541-962-0830
Mailing Address
Mrs. KYLAN BROOK JORGENSEN MS, ATC
88 RAPID RUN LOOP
LA GRANDE, OR 97850-1847
Phone number: 541-963-0233