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1932668662
JARA LYNN SOOST
GILLETTE, WY
NPI
1932668662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WY 32)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
JARA LYNN SOOST LAT, ATC
410 TONK CT
GILLETTE, WY 82718-5331
Phone number: 307-689-4982
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Mailing Address
JARA LYNN SOOST LAT, ATC
410 TONK CT
GILLETTE, WY 82718-5331
Phone number: 307-689-4982
Copy
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