JAMES ROBERT LARSEN

POWELL, WY
NPI1669741724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY  011)
Enumeration Date2011-12-19
Last Update Date2011-12-19
Business Address
Mr. JAMES ROBERT LARSEN A.T.C. L.A.T.
387 N FERRIS ST APT L
POWELL, WY 82435-2042
Phone number: 307-359-0617
Mailing Address
Mr. JAMES ROBERT LARSEN A.T.C. L.A.T.
387 N FERRIS ST APT L
POWELL, WY 82435-2042
Phone number: 307-359-0617