JESSE LUKE MANN

LARAMIE, WY
NPI1871106518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-1022)
Enumeration Date2020-08-24
Last Update Date2020-08-24
Business Address
JESSE LUKE MANN PTA
503 S 18TH ST
LARAMIE, WY 82070-4303
Phone number: 307-742-3728
Mailing Address
JESSE LUKE MANN PTA
2120 BINFORD ST APT 302
LARAMIE, WY 82072-5380
Phone number: 307-761-1661
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