JENNIFER LYNN LUPER-LARK

FORT THOMPSON, SD
NPI1548790348
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SD  0490)
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
JENNIFER LYNN LUPER-LARK ATC
1323 BIA ROUTE 4
FORT THOMPSON, SD 57339
Phone number: 605-245-1621
Mailing Address
JENNIFER LYNN LUPER-LARK ATC
647 SIMMONS AVE SE
HURON, SD 57350-2955
Phone number: