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1942741418
JARAN DEFRIES
WINONA, MN
NPI
1942741418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2017-03-16
Last Update Date
2019-08-27
Business Address
JARAN DEFRIES
512 LAIRD ST
WINONA, MN 55987-4034
Phone number: 507-313-8897
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Mailing Address
JARAN DEFRIES
512 LAIRD ST
WINONA, MN 55987-4034
Phone number: 507-313-8897
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