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1669741724
JAMES ROBERT LARSEN
POWELL, WY
NPI
1669741724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY 011)
Enumeration Date
2011-12-19
Last Update Date
2011-12-19
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
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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
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