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1891105011
JENNA WALKER
DOUGLAS, WY
NPI
1891105011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WY 009)
Enumeration Date
2014-04-28
Last Update Date
2014-04-28
Business Address
JENNA WALKER ATC, L.A.T.
1701 HAMILTON ST
DOUGLAS, WY 82633-2781
Phone number: 307-340-0631
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Mailing Address
JENNA WALKER ATC, L.A.T.
36 LAKEVIEW DR
DOUGLAS, WY 82633-9001
Phone number: 307-340-0631
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